Doctor Name: | MRS. ELLEN T POVEROMO |
NPI Number: | 1174514467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5499 |
Business Practice Address: | 100 Cummings Ctr Suite 121q Beverly, MA - 019156115 |
Business Phone Number: | 9789270907 |
Business Fax Number: | |
Mailing Address: | 22 Arlington Ave, BEVERLY |
State: | MA |
Postal Code: | 019151002 |
Phone Number: | 9789272528 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 01/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5499 |
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 |