Organization Name: | NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P.L.L.C |
NPI Number: | 1003099078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN MARIE BAZAN (OWNER AND OCCUPATIONAL THERAPIST) |
Mailing Address: | 106 Montcalm St Northwoods Wellness Physical & Occupational Therapy, P. Ticonderoga |
State: | NY US |
Postal Code: | 128831353 |
Phone Number: | 5185859285 |
Fax Number: | 5185859286 |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 014005-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |