Doctor Name: | KATELYN MARIE CUSMIANI |
NPI Number: | 1295019917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 034259 |
Business Practice Address: | 419 Beach 138th St Belle Harbor, NY - 116941341 |
Business Phone Number: | 9176809760 |
Business Fax Number: | 9176809760 |
Mailing Address: | 419 Beach 138th St, BELLE HARBOR |
State: | NY |
Postal Code: | 116941341 |
Phone Number: | 9176809760 |
Fax Number: | 9176809760 |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 034259 |
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 |