Organization Name: | PHYS MED INC. |
NPI Number: | 1649681552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BLASENKO H SIMUNOVIC (PRESIDENT/CEO) |
Mailing Address: | 201 S Madera Ave #100 Kerman |
State: | CA US |
Postal Code: | 936301129 |
Phone Number: | 5598466336 |
Fax Number: | 5598463344 |
NPI Enumeration Date: | 05/13/2014 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 12805 |
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 |