| Organization Name: | KEVIN SNIDER PHYSICAL THERAPY, INC |
| NPI Number: | 1578528261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEV M SINDORF (OFFICE MANAGER) |
| Mailing Address: | 1920 Barney Rd Anderson |
| State: | CA US |
| Postal Code: | 960074337 |
| Phone Number: | 5303652142 |
| Fax Number: | 5303655655 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 06/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT5041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |