| Healing Tree Physical Therapy Center LLC | |
|
4002 Raphune Hill Al Cohen's Plaza St. Thomas VI 00802 | |
| (340) 693-5683 | |
| (340) 693-5682 |
| Full Name | Healing Tree Physical Therapy Center LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4002 Raphune Hill, St. Thomas, Virgin Island |
| Authorized Official Name and Position | Eileen Deirdre Short (OWNER) |
| Authorized Official Contact | 3406263478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Tree Physical Therapy Center LLC Po Box 11733 St Thomas VI 00801-4733 Ph: (340) 693-5683 | Healing Tree Physical Therapy Center LLC 4002 Raphune Hill Al Cohen's Plaza St. Thomas VI 00802 Ph: (340) 693-5683 |
| NPI Number | 1619344876 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 05/08/2020 |
| Certification Date | 05/08/2020 |
| Medicare PECOS PAC ID | 6709148265 |
|---|---|
| Medicare Enrollment ID | O20180320003468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619344876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 26 (Virgin Island) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 26 (Virgin Island) | Secondary |
| Provider Name | Eileen Short |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427312263 PECOS PAC ID: 4385694884 Enrollment ID: I20121218000154 |
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