| Doctor Name: | ADRIAN MIRANDA |
| NPI Number: | 1043485725 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 08308 |
| Business Practice Address: | 897 Broadway Lower Level New York, NY - 100031205 |
| Business Phone Number: | 2126737878 |
| Business Fax Number: | 2126747878 |
| Mailing Address: | 897 Broadway, Lower Level NEW YORK |
| State: | NY |
| Postal Code: | 100031205 |
| Phone Number: | 2126737878 |
| Fax Number: | 2126747878 |
| NPI Enumeration Date: | 04/24/2008 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 08308 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| 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 |