| Organization Name: | PALM HARBOR PHYSICAL THERAPY |
| NPI Number: | 1417957358 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW N LOSCALZO (ADMINISTRATOR) |
| Mailing Address: | 30522 Us Highway 19 N Suite 110 Palm Harbor |
| State: | FL US |
| Postal Code: | 346844444 |
| Phone Number: | 7277896008 |
| Fax Number: | 7277890716 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA2119 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |