Doctor Name: | MR. EDWARD DAVID SEGEL |
NPI Number: | 1003060526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 18216 |
Business Practice Address: | 524 Harvard St Brookline, MA - 024462463 |
Business Phone Number: | 6177311004 |
Business Fax Number: | 6177311001 |
Mailing Address: | 524 Harvard St, BROOKLINE |
State: | MA |
Postal Code: | 024462463 |
Phone Number: | 6177311004 |
Fax Number: | 6177311001 |
NPI Enumeration Date: | 11/11/2008 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 18216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |