Provider Demographics
NPI:1487823480
Name:TOP NOTCH PHYSICAL THERAPY AND PERSONAL TRAINING LLC
Entity Type:Organization
Organization Name:TOP NOTCH PHYSICAL THERAPY AND PERSONAL TRAINING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ORLY
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:GAL-BOTWIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:727-787-1261
Mailing Address - Street 1:2176 MUIRFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-1939
Mailing Address - Country:US
Mailing Address - Phone:727-787-1261
Mailing Address - Fax:727-726-1580
Practice Address - Street 1:2176 MUIRFIELD WAY
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-1939
Practice Address - Country:US
Practice Address - Phone:727-787-1261
Practice Address - Fax:727-724-3704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9165261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy