Doctor Name: | MR. CARL DAVID STORLAZZI |
NPI Number: | 1700096096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT20387 |
Business Practice Address: | 3501 Health Center Blvd Bonita Springs, FL - 341358127 |
Business Phone Number: | 2399491050 |
Business Fax Number: | 2399496111 |
Mailing Address: | 3501 Health Center Blvd, BONITA SPRINGS |
State: | FL |
Postal Code: | 341358127 |
Phone Number: | 2399491050 |
Fax Number: | 2399496111 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |