Organization Name: | ADVANTAGE REHAB |
NPI Number: | 1851419832 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNDA D BROWN (OWNER) |
Mailing Address: | 1819 Sheridan Ave Cody |
State: | WY US |
Postal Code: | 824143886 |
Phone Number: | 3075879866 |
Fax Number: | 3075879867 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |