Organization Name: | PROSPECT REHABILITATION, PC |
NPI Number: | 1598785107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MICHAEL DIBLASIO (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 3511 Richville Road Manchester Center |
State: | VT US |
Postal Code: | 052551365 |
Phone Number: | 8023621151 |
Fax Number: | 8023627046 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040-0003139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |