Organization Name: | JOHN P. STORCK, PT P.C. |
NPI Number: | 1306921341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P STORCK (OWNER) |
Mailing Address: | 141 N State Rd Briarcliff Manor |
State: | NY US |
Postal Code: | 105101459 |
Phone Number: | 9149412674 |
Fax Number: | 9149412675 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 017388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |