Doctor Name: | MS. DEBORAH DENISE MAIA |
NPI Number: | 1033171459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.P.T. |
License Number: | 7424 |
Business Practice Address: | 29 Corashire Rd Great Barrington, MA - 012302130 |
Business Phone Number: | 4135286085 |
Business Fax Number: | 4135286086 |
Mailing Address: | Po Box 893, GREAT BARRINGTON |
State: | MA |
Postal Code: | 012300893 |
Phone Number: | 4135286085 |
Fax Number: | 4135286086 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 10/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 7424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |