Organization Name: | GULF COAST MED CTR PHYSICAL THERAPY |
NPI Number: | 1700852357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI BRIENZA (FACILITIES DIRECTOR) |
Mailing Address: | 11528 Us Highway 19 Port Richey |
State: | FL US |
Postal Code: | 346681442 |
Phone Number: | 7278614770 |
Fax Number: | 7278613351 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 08/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |