Provider Demographics
NPI:1932467636
Name:ONE STEP FORWARD PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ONE STEP FORWARD PHYSICAL THERAPY LLC
Other - Org Name:ONE STEP FORWARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-922-5008
Mailing Address - Street 1:1708 TEALBRIAR AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7350
Mailing Address - Country:US
Mailing Address - Phone:301-922-5008
Mailing Address - Fax:407-977-1084
Practice Address - Street 1:1708 TEALBRIAR AVE
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7350
Practice Address - Country:US
Practice Address - Phone:301-922-5008
Practice Address - Fax:407-977-1084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health