Provider Demographics
NPI:1083600985
Name:CITY OF MONTEREY FINANCE DEPT
Entity Type:Organization
Organization Name:CITY OF MONTEREY FINANCE DEPT
Other - Org Name:MONTEREY SPORTS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FITNESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:ROTHSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CSCS, MES
Authorized Official - Phone:831-646-3492
Mailing Address - Street 1:301 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3044
Mailing Address - Country:US
Mailing Address - Phone:831-646-3492
Mailing Address - Fax:831-646-5627
Practice Address - Street 1:301 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3044
Practice Address - Country:US
Practice Address - Phone:831-646-3700
Practice Address - Fax:831-646-5629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT17571225100000X
CAPT21711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ 03292ZMedicare ID - Type UnspecifiedGROUP ID