Provider Demographics
NPI:1265875280
Name:DOCTOR TO YOU
Entity type:Organization
Organization Name:DOCTOR TO YOU
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRECQUE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:941-737-2426
Mailing Address - Street 1:3915 8TH AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-1701
Mailing Address - Country:US
Mailing Address - Phone:941-747-7741
Mailing Address - Fax:941-747-1431
Practice Address - Street 1:3915 8TH AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-1701
Practice Address - Country:US
Practice Address - Phone:941-747-7741
Practice Address - Fax:941-747-1431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty