Organization Name: | MONTICELLO PHYSICAL THERAPY & SPORTS MEDICINE, LLC |
NPI Number: | 1770795924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL WILLIAM STOKMAN (PHYSICAL THERAPIST -OWNER) |
Mailing Address: | 1125 S Cedar Street Suite 103 Monticello |
State: | MN US |
Postal Code: | 55362 |
Phone Number: | 7632954201 |
Fax Number: | 7632953895 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |