Organization Name: | BODYLOGICS HEALTH SERVICES INC. |
NPI Number: | 1679866784 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE BROWN (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 12730 Foothill Blvd. Unit 102 Rancho Cucamonga |
State: | CA US |
Postal Code: | 91739 |
Phone Number: | 9094387005 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2011 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |