Organization Name: | WHEATFIELD PHYSICAL THERAPY P.C. |
NPI Number: | 1275511206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK MILLEVILLE (CO-OWNER) |
Mailing Address: | 3571 Niagara Falls Blvd North Tonawanda |
State: | NY US |
Postal Code: | 141201200 |
Phone Number: | 7166957848 |
Fax Number: | 7166953012 |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 011248-1 |
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 |