Doctor Name: | JAY R HARTIGAN |
NPI Number: | 1053407502 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 6644 |
Business Practice Address: | 11380 Prosperity Farms Rd. Ste. B109 Palm Beach Gardens, FL - 33410 |
Business Phone Number: | 5618037761 |
Business Fax Number: | 5618037762 |
Mailing Address: | 18165 125th Ave. North, JUPITER |
State: | FL |
Postal Code: | 33478 |
Phone Number: | 5617076296 |
Fax Number: | 5615755259 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |