Doctor Name: | MRS. REBECCA HYDE MILES |
NPI Number: | 1033362579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 010073-1 |
Business Practice Address: | 13 Copperfield Dr Waterford, NY - 121881093 |
Business Phone Number: | 5184248817 |
Business Fax Number: | 5182331420 |
Mailing Address: | 13 Copperfield Dr, WATERFORD |
State: | NY |
Postal Code: | 121881093 |
Phone Number: | 5184248817 |
Fax Number: | 5182331420 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 010073-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |