Doctor Name: | EDWARD C DESMET |
NPI Number: | 1093797797 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT-011714L |
Business Practice Address: | 1564 Route 507 Suite C Greentown, PA - 184264502 |
Business Phone Number: | 5706760700 |
Business Fax Number: | 5706760766 |
Mailing Address: | Rr 1 Box 140c, TOWANDA |
State: | PA |
Postal Code: | 188489787 |
Phone Number: | 5702651111 |
Fax Number: | 5702657134 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 03/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-011714L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |