Provider Demographics
NPI:1407317811
Name:PELVIC HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:PELVIC HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:914-329-6966
Mailing Address - Street 1:3375 BURNS RD STE 108
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4360
Mailing Address - Country:US
Mailing Address - Phone:914-329-6966
Mailing Address - Fax:
Practice Address - Street 1:3375 BURNS RD STE 108
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4360
Practice Address - Country:US
Practice Address - Phone:914-329-6966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy