Organization Name: | PROSTHETIC AMBULATION CENTER OF EXCELLENCE |
NPI Number: | 1215941976 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN ANNE VALENTI (SENIOR PHYSICAL THERAPIST) |
Mailing Address: | 522 Anderson Ave Cliffside Park |
State: | NJ US |
Postal Code: | 070101636 |
Phone Number: | 2019433900 |
Fax Number: | 2019439055 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Amputee |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |