Doctor Name: | DR. JAY ALLAN BERNASCONI |
NPI Number: | 1154416949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, OCS |
License Number: | 5087 |
Business Practice Address: | 21 Totman St First Floor Quincy, MA - 021697564 |
Business Phone Number: | 6177704167 |
Business Fax Number: | 6177700971 |
Mailing Address: | 21 Totman St, First Floor QUINCY |
State: | MA |
Postal Code: | 021697564 |
Phone Number: | 6177704167 |
Fax Number: | 6177700971 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 01/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |