| Organization Name: | AVONDALE PHYSICAL THERAPY, INC. |
| NPI Number: | 1861544603 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN ERIC HAGAN (PRESIDENT) |
| Mailing Address: | 12471 Sawgrass Ct Wellington |
| State: | FL US |
| Postal Code: | 334144822 |
| Phone Number: | 4517537480 |
| Fax Number: | 5617537972 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT8908 |
| 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 |