Provider Demographics
NPI:1568767135
Name:ACHIEVE PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:ACHIEVE PHYSICAL THERAPY SERVICES INC
Other - Org Name:ACHIEVE PHYSICAL THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-504-2905
Mailing Address - Street 1:3626 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-2399
Mailing Address - Country:US
Mailing Address - Phone:727-504-2905
Mailing Address - Fax:727-595-4805
Practice Address - Street 1:101 20TH ST
Practice Address - Street 2:
Practice Address - City:BELLEAIR BEACH
Practice Address - State:FL
Practice Address - Zip Code:33786-3404
Practice Address - Country:US
Practice Address - Phone:727-504-2905
Practice Address - Fax:727-595-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10398261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy