Organization Name: | HAMPTONS PHYSICAL THERAPY, PC |
NPI Number: | 1174818538 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE J WILSON (DIRECTOR) |
Mailing Address: | 33 Newtown Ln Ste 203 East Hampton |
State: | NY US |
Postal Code: | 119372433 |
Phone Number: | 6319037996 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2011 |
NPI Last Update Date: | 08/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 022387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |