Doctor Name: | GLORIA R. COLLERY |
NPI Number: | 1023299195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.T. |
License Number: | 0133481 |
Business Practice Address: | 5 Salem Steet 2nd Floor Greenwich, NY - 128341345 |
Business Phone Number: | 5186929798 |
Business Fax Number: | 5186923332 |
Mailing Address: | 5 Salem St, 2nd Floor GREENWICH |
State: | NY |
Postal Code: | 128341345 |
Phone Number: | 5186929798 |
Fax Number: | 5186923332 |
NPI Enumeration Date: | 11/17/2007 |
NPI Last Update Date: | 11/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0133481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |