Doctor Name: | MRS. MARIA C TIBBE |
NPI Number: | 1023106366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0157421 |
Business Practice Address: | 511 Weeks Ave Manorville, NY - 119492044 |
Business Phone Number: | 5169034563 |
Business Fax Number: | 6317750142 |
Mailing Address: | 511 Weeks Ave, MANORVILLE |
State: | NY |
Postal Code: | 119492044 |
Phone Number: | 5169034563 |
Fax Number: | 6317750142 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 10/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0157421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |