Organization Name: | NORTHEASTERN PHYSICAL REHAB, INC. |
NPI Number: | 1447337423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL BRENT SCOTT (OWNER) |
Mailing Address: | 1500 E Downing St Ste 210 Tahlequah |
State: | OK US |
Postal Code: | 744643379 |
Phone Number: | 9184585115 |
Fax Number: | 8184585119 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 04/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |