Doctor Name: | GARY P AUSTIN |
NPI Number: | 1134282718 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 003804 |
Business Practice Address: | 5151 Park Ave Fairfield, CT - 068251023 |
Business Phone Number: | 2033968181 |
Business Fax Number: | 2033968137 |
Mailing Address: | 12 Main St, Suite 2 ELLINGTON |
State: | CT |
Postal Code: | 060293339 |
Phone Number: | 8609791600 |
Fax Number: | 2038663014 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 06/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |