Doctor Name: | MRS. TERESA DEPAOLI |
NPI Number: | 1033349402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, GCS |
License Number: | 012777-1 |
Business Practice Address: | 56 June Rd Box 662 North Salem, NY - 105601702 |
Business Phone Number: | 9146699095 |
Business Fax Number: | |
Mailing Address: | Po Box 124, 619 Route 22 CROTON FALLS |
State: | NY |
Postal Code: | 105190124 |
Phone Number: | 9142775088 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 07/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 012777-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |