Organization Name: | PEDIATRIC THERAPY WORLD, INC |
NPI Number: | 1437347663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA A SCHULTZ (PHYSICAL THERAPIST/ OWNER) |
Mailing Address: | 15367 Rankin Ave Dunlap |
State: | TN US |
Postal Code: | 373272361 |
Phone Number: | 4239492086 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2007 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 0000003318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |