Doctor Name: | MARY NISHIMOTO |
NPI Number: | 1033329693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 006727-1 |
Business Practice Address: | 51-55 North Rt 9w West Haverstraw, NY - 10993 |
Business Phone Number: | 8457864792 |
Business Fax Number: | 8457864058 |
Mailing Address: | 51-55 North Rt 9w, WEST HAVERSTRAW |
State: | NY |
Postal Code: | 10993 |
Phone Number: | 8457864792 |
Fax Number: | 8457864058 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006727-1 |
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 |