Doctor Name: | RICHELLE TIMTIMAN CABANILLA |
NPI Number: | 1306092101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 025850 |
Business Practice Address: | 2171 Jericho Tpke Suite 340 Commack, NY - 117252937 |
Business Phone Number: | 6317479876 |
Business Fax Number: | 6316707089 |
Mailing Address: | 2171 Jericho Tpke, Suite 340 COMMACK |
State: | NY |
Postal Code: | 117252937 |
Phone Number: | 6317479876 |
Fax Number: | 6316707089 |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 12/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025850 |
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 |