Organization Name: | COMPLETE CARE MEDICAL GROUP, LLC |
NPI Number: | 1710398144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACKIE TATE (OFFICE BUSINESS MANAGER) |
Mailing Address: | 1868 Hooper Ave Toms River |
State: | NJ US |
Postal Code: | 087538175 |
Phone Number: | 7324511229 |
Fax Number: | 7328641229 |
NPI Enumeration Date: | 05/20/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 402A01520200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
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 |