Organization Name: | PARK AVENUE PHYSICAL THERAPY, INC |
NPI Number: | 1659792356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER NICHOLAS DI REDO (OWNER / PHYSICAL THERAPIST) |
Mailing Address: | 2808 Park Ave Suite B Merced |
State: | CA US |
Postal Code: | 953483392 |
Phone Number: | 2097238144 |
Fax Number: | 2097235605 |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 29991 |
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 |