Organization Name: | BACK TO FUNCTION HOME PHYSICAL THERAPY LLC |
NPI Number: | 1750534814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK D ZAMEROWSKI (OWNER) |
Mailing Address: | 49 Sailfish Dr Brigantine |
State: | NJ US |
Postal Code: | 082031347 |
Phone Number: | 8569045361 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2008 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 40QA00700300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |