Provider Demographics
NPI:1477888428
Name:GOOD HAND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:GOOD HAND PHYSICAL THERAPY
Other - Org Name:TOP PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZEBULON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:954-448-5317
Mailing Address - Street 1:1646 W RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-2729
Mailing Address - Country:US
Mailing Address - Phone:954-448-5317
Mailing Address - Fax:954-692-1982
Practice Address - Street 1:1646 W RIVER DR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-2729
Practice Address - Country:US
Practice Address - Phone:954-448-5317
Practice Address - Fax:954-692-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 12528174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty