Provider Demographics
NPI:1851507503
Name:QUALITY IN MOTION HOME PT INC
Entity Type:Organization
Organization Name:QUALITY IN MOTION HOME PT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:B
Authorized Official - Last Name:UNSELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-281-2403
Mailing Address - Street 1:4740 HUNTING TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-3526
Mailing Address - Country:US
Mailing Address - Phone:561-281-1403
Mailing Address - Fax:561-433-8981
Practice Address - Street 1:4740 HUNTING TRL
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-3526
Practice Address - Country:US
Practice Address - Phone:561-281-1403
Practice Address - Fax:561-433-8981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 3526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGMedicare PIN