Doctor Name: | CARA LUREE WENDEL WURST |
NPI Number: | 1700916582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 23121 |
Business Practice Address: | 6613 49th St Pinellas Park, FL - 337815728 |
Business Phone Number: | 7275272100 |
Business Fax Number: | 7275213710 |
Mailing Address: | 5801 Bayou Grande Blvd Ne, ST PETERSBURG |
State: | FL |
Postal Code: | 337031819 |
Phone Number: | 7273685393 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23121 |
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 |