Doctor Name: | SCOTT E HAVEMEYER |
NPI Number: | 1003947458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 11920 |
Business Practice Address: | 150 Presidential Way Suite 110 Woburn, MA - 018011100 |
Business Phone Number: | 7817821300 |
Business Fax Number: | 7817821350 |
Mailing Address: | 150 Presidential Way, Suite 110 WOBURN |
State: | MA |
Postal Code: | 018011100 |
Phone Number: | 7817821300 |
Fax Number: | 7817821350 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |