Organization Name: | RIVERVIEW PHYSICAL THERAPY & SPORTS MEDICINE ,S.C. |
NPI Number: | 1922180918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE MARY OTT (PRESIDENT/PHYSICAL THERAPIST) |
Mailing Address: | 516 E Green Bay Ave Saukville |
State: | WI US |
Postal Code: | 530802012 |
Phone Number: | 2622849510 |
Fax Number: | 2622849511 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6535-024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |