Doctor Name: | TARA M FERGUSON |
NPI Number: | 1215276548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DOCTORATE OF PHYSICA |
License Number: | PT022583 |
Business Practice Address: | 605 Scenery Drive Elizabeth, PA - 150372000 |
Business Phone Number: | 4127510040 |
Business Fax Number: | 4127510041 |
Mailing Address: | 625 Lincoln Ave, Suite 209 NORTH CHARLEROI |
State: | PA |
Postal Code: | 150222451 |
Phone Number: | 7244833610 |
Fax Number: | 7244894758 |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT022583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |