Organization Name: | BLOOMFIELD TOTAL HEALTH CENTER |
NPI Number: | 1639105380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL M CREDICO (MANAGING MEMBER) |
Mailing Address: | 1129 Broad St Bloomfield |
State: | NJ US |
Postal Code: | 070032918 |
Phone Number: | 9733383620 |
Fax Number: | 9733384849 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |