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NPI Code Detail

MEDICARE: PROFESSIONAL THERAPY GROUP INC

MEDICARE: PROFESSIONAL THERAPY GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center409PR

General Provider Information

NPI Number : 1164427068
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL THERAPY GROUP INC
Provider Business Mailing Address
First Line : PO BOX 3240
Second Line :
City : CAROLINA
State : PR
Zip : 00984-3240
Country : US
Telephone Number : 787-762-4940
Fax Number : 787-257-1234
Provider Business Practice Location Address
First Line : ROBERTO CLEMENTE AVENUE
Second Line : 117 BLOCK #1 VILLA CAROLINA
City : CAROLINA
State : PR
Zip : 00985
Country : US
Telephone Number : 787-762-4940
Fax Number : 787-257-1234
Authorized Official
Title or Position : PHYSICAL THERAPY
Name : MRS. ALICIA CRUZ
Credential : PHYSICAL THERAPIST
Telephone Number : 787-762-4940
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/14/2010

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Directions to “PROFESSIONAL THERAPY GROUP INC ” Practice Location

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