Doctor Name: | JOHN WALZ |
NPI Number: | 1760581912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT20347 |
Business Practice Address: | 2722 Manatee Ave W Suite 2 Bradenton, FL - 342054945 |
Business Phone Number: | 9417449046 |
Business Fax Number: | |
Mailing Address: | 2722 Manatee Ave W, Suite 2 BRADENTON |
State: | FL |
Postal Code: | 342054945 |
Phone Number: | 9417449046 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 01/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |