Organization Name: | ONSHORE THERAPY, PLC |
NPI Number: | 1659534105 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEANN DAWN CROCKETT (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 92410 Overseas Highway Suite 6 Tavernier |
State: | FL US |
Postal Code: | 330702636 |
Phone Number: | 3055877770 |
Fax Number: | 3058528300 |
NPI Enumeration Date: | 07/04/2008 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT21750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |