Doctor Name: | MRS. DALE EVON HULTS |
NPI Number: | 1245516483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 004887-1 |
Business Practice Address: | 81 North Main St. Mayfield, NY - 12117 |
Business Phone Number: | 5186615352 |
Business Fax Number: | |
Mailing Address: | 167 Northwoods Club Rd, MINERVA |
State: | NY |
Postal Code: | 128512046 |
Phone Number: | 5182514324 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2011 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004887-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |