Organization Name: | PRO CARE PHYSICAL THERAPY LLC |
NPI Number: | 1831506419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE SHAUF (MANAGING MEMBER) |
Mailing Address: | 9860 S Estrella Pkwy # B-105 Goodyear |
State: | AZ US |
Postal Code: | 853387149 |
Phone Number: | 6235945473 |
Fax Number: | 6235945479 |
NPI Enumeration Date: | 07/16/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |