Organization Name: | VILLAGE PHYSICAL THERAPY, INC |
NPI Number: | 1578827846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL EARL SMITH (PRESIDENT) |
Mailing Address: | 381 Main St Suite 1 Gorham |
State: | ME US |
Postal Code: | 040381309 |
Phone Number: | 2072324283 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2012 |
NPI Last Update Date: | 07/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |