Doctor Name: | SARA WYNNE |
NPI Number: | 1083090476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 039325 |
Business Practice Address: | 375 Deer Park Ave Babylon, NY - 117022355 |
Business Phone Number: | 6313216303 |
Business Fax Number: | 6313216317 |
Mailing Address: | 1255 5th Ave Apt 6l, NEW YORK |
State: | NY |
Postal Code: | 100293882 |
Phone Number: | 2127534767 |
Fax Number: | 2127534063 |
NPI Enumeration Date: | 08/07/2015 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 039325 |
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 |