Organization Name: | PARK AVENUE THERAPIES |
NPI Number: | 1437127834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA J. JOHNSON (OWNER) |
Mailing Address: | 1204 Cloquet Ave Cloquet |
State: | MN US |
Postal Code: | 557201622 |
Phone Number: | 2188780805 |
Fax Number: | 2188780794 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 11/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |