NPI | 1811252729 |
---|---|
Other Name | RET PHYSICAL THERAPY & HEALTHCARE SPECIALISTS |
Other Name | BOTHELL PHYSICAL THERAPY |
Former Legal Business Name | BOTHELL PHYSICAL THERAPY, PLLC |
Entity Type | Organization |
Authorized Contact | DWAN DIAZ Credentialing Coordinator 813-560-8157 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 225100000X Physical Therapist |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2012-07-06 |
Last Update Date | 2022-11-30 |