Doctor Name: | BERTHA GABRIELA WILLEMS |
NPI Number: | 1164569521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DR. P.T |
License Number: | 027666-1 |
Business Practice Address: | 175 W Merrick Rd Freeport, NY - 115203712 |
Business Phone Number: | 5163797550 |
Business Fax Number: | |
Mailing Address: | 101 Clinton Ave Apt 3j, MINEOLA |
State: | NY |
Postal Code: | 115012854 |
Phone Number: | 5167260879 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 027666-1 |
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 |