Doctor Name: | JASON A LENNON |
NPI Number: | 1063564235 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 025827-1 |
Business Practice Address: | 97 W. Montauk Hwy. Peconic Physical Therapy Hampton Bays, NY - 119463531 |
Business Phone Number: | 6317230801 |
Business Fax Number: | 6317230802 |
Mailing Address: | 97 W. Montauk Hwy, Peconic Physical Therapy HAMPTON BAYS |
State: | NY |
Postal Code: | 11946 |
Phone Number: | 6317230801 |
Fax Number: | 6317230802 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025827-1 |
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 |