Doctor Name: | DOREEN BAXLEY |
NPI Number: | 1477934073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT15292 |
Business Practice Address: | 10800 Panama City Beach Pkwy Panama City, FL - 324072533 |
Business Phone Number: | 8505886852 |
Business Fax Number: | |
Mailing Address: | 603 Redbird St, LYNN HAVEN |
State: | FL |
Postal Code: | 324444384 |
Phone Number: | 8502713709 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2015 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT15292 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |