Organization Name: | LAKE COUNTRY PHYSICAL THERAPY & SPORTSCARE, PC |
NPI Number: | 1003958653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZOE FACKELMAN (PRESIDENT) |
Mailing Address: | 241 Parrish St Suite A Canandaigua |
State: | NY US |
Postal Code: | 144241727 |
Phone Number: | 5853961400 |
Fax Number: | 5853963368 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |