Organization Name: | THE FUNCTIONAL PERFORMANCE CENTER |
NPI Number: | 1730146283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEREK D. STEVESON (CEO) |
Mailing Address: | 2065 S Cottonwood Dr Ste 1 Tempe |
State: | AZ US |
Postal Code: | 852823040 |
Phone Number: | 4809682020 |
Fax Number: | 4809680404 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3665 |
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 |