Doctor Name: | MRS. ELAINE MUNSON |
NPI Number: | 1285971168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 007751 |
Business Practice Address: | 11 Freedom Way Unit B2 Niantic, CT - 063571041 |
Business Phone Number: | 8606918960 |
Business Fax Number: | 8606918969 |
Mailing Address: | 11 Freedom Way Unit B2, NIANTIC |
State: | CT |
Postal Code: | 063571041 |
Phone Number: | 8606918960 |
Fax Number: | 8606918969 |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 007751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |