Organization Name: | IN HOME PHYSICAL THERAPY |
NPI Number: | 1497941272 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE CHERYL GRUSKY (PRESIDENT) |
Mailing Address: | 11272 Nw 71st Ct Parkland |
State: | FL US |
Postal Code: | 330763866 |
Phone Number: | 9544153892 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT12159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |