Organization Name: | THE THERAPY & WELLNESS GROUP, INC |
NPI Number: | 1740355239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK A MASHBURN (PHYSICAL THERAPIST) |
Mailing Address: | 3160 W Main St Suite 1 Dothan |
State: | AL US |
Postal Code: | 363051185 |
Phone Number: | 3346992348 |
Fax Number: | 3346992347 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |