Doctor Name: | KEITH PACIFIC |
NPI Number: | 1427223353 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 030135 |
Business Practice Address: | 2964 Lowell Ct Casselberry, FL - 327075881 |
Business Phone Number: | 3219728685 |
Business Fax Number: | 4072412868 |
Mailing Address: | 2964 Lowell Ct, CASSELBERRY |
State: | FL |
Postal Code: | 327075881 |
Phone Number: | 3219728685 |
Fax Number: | 4072412868 |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 07/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 030135 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |