Doctor Name: | MICHAEL J COMPEAU |
NPI Number: | 1033168109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 020345-1 |
Business Practice Address: | 800 Irving Ave Syracuse, NY - 132102716 |
Business Phone Number: | 3154254400 |
Business Fax Number: | 3154252685 |
Mailing Address: | 7392 Palmcrest Rd, NORTH SYRACUSE |
State: | NY |
Postal Code: | 132123363 |
Phone Number: | 3152145576 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 020345-1 |
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 |