Organization Name: | AQUATIC REHAB AND CONSULTING |
NPI Number: | 1619908514 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN THORSON (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 18 Sunnydale Ln Rancho Santa Margarita |
State: | CA US |
Postal Code: | 926885569 |
Phone Number: | 9492169300 |
Fax Number: | 9492169301 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 14945 |
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 |