Organization Name: | L. G. STAFFING |
NPI Number: | 1457639981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISBETH GUERRA (PHYSICAL THERAPIST) |
Mailing Address: | 8346 Nw S River Dr Bay M Medley |
State: | FL US |
Postal Code: | 331667446 |
Phone Number: | 7542044484 |
Fax Number: | 3053599839 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT20503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |