Organization Name: | INNISS/NEILSON PHYSICAL THERAPY, INC. |
NPI Number: | 1811008964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN NEILSON (C.E.O.) |
Mailing Address: | 264 Landis Ave Ste 103 Chula Vista |
State: | CA US |
Postal Code: | 919102651 |
Phone Number: | 6194223970 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 16623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |