Doctor Name: | MS. SUSAN STEARNS MEAD |
NPI Number: | 1093820581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0033631 |
Business Practice Address: | 11919 Halm Rd Corning, NY - 14830 |
Business Phone Number: | 6077382837 |
Business Fax Number: | |
Mailing Address: | 219 W Lincoln St, ITHACA |
State: | NY |
Postal Code: | 14850 |
Phone Number: | 6072725320 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 12/27/2006 |
NPI Reactivation Date: | 04/04/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0033631 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |