Organization Name: | HEALTHSERVE MEDICAL GROUP LLC |
NPI Number: | 1962806570 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL C BOURLAND (PRESIDENT) |
Mailing Address: | 445 Rocky Fork Blvd Ste A Gahanna |
State: | OH US |
Postal Code: | 432303336 |
Phone Number: | 6144422431 |
Fax Number: | 6144422426 |
NPI Enumeration Date: | 10/13/2014 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |