Doctor Name: | PETER P MAYOCK |
NPI Number: | 1073517017 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 040-0003099 |
Business Practice Address: | 442 Woodstock Rd Ste 3a Woodstock, VT - 050919794 |
Business Phone Number: | 8024573215 |
Business Fax Number: | 8024576118 |
Mailing Address: | 442 Woodstock Rd, Ste 3a WOODSTOCK |
State: | VT |
Postal Code: | 050919794 |
Phone Number: | 8024573215 |
Fax Number: | 8024576118 |
NPI Enumeration Date: | 06/08/2005 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040-0003099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |