Doctor Name: | MRS. VITA FRANCES PULVER |
NPI Number: | 1235386319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 001066 |
Business Practice Address: | 4 Thornewood Ct East Moriches, NY - 119401450 |
Business Phone Number: | 6318780560 |
Business Fax Number: | |
Mailing Address: | Po Box 138, REMSENBURG |
State: | NY |
Postal Code: | 119600138 |
Phone Number: | 6313256963 |
Fax Number: | 6313252941 |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 08/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 001066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |