Doctor Name: | MR. VINCE SECKER |
NPI Number: | 1730142217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 2524 |
Business Practice Address: | 2281 W 24th St Ste 10 Yuma, AZ - 853646154 |
Business Phone Number: | 9283441656 |
Business Fax Number: | 9283445072 |
Mailing Address: | 2281 W 24th St, Ste 10 YUMA |
State: | AZ |
Postal Code: | 853646154 |
Phone Number: | 9283441656 |
Fax Number: | 9283445072 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |