Organization Name: | PELICAN SPORTS & REHABILITATION OF NAPLES |
NPI Number: | 1558511725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J WILLETT (PRESIDENT) |
Mailing Address: | 9051 N Tamiami Trail Suite 104 Naples |
State: | FL US |
Postal Code: | 341082520 |
Phone Number: | 2395914711 |
Fax Number: | 2395931195 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT16338 |
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 |