Provider Demographics
NPI:1104014869
Name:COMPREHENSIVE REHAB SERVICESOF CHARLOTTE COUNTY INC
Entity Type:Organization
Organization Name:COMPREHENSIVE REHAB SERVICESOF CHARLOTTE COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARTHOLOMEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:HORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF PHYSICAL T
Authorized Official - Phone:716-947-2009
Mailing Address - Street 1:7008 ERIE RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9592
Mailing Address - Country:US
Mailing Address - Phone:716-947-2009
Mailing Address - Fax:
Practice Address - Street 1:796 CRESTVIEW CIR NW
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-2118
Practice Address - Country:US
Practice Address - Phone:941-255-9494
Practice Address - Fax:941-255-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty