Doctor Name: | JESSICA WESLEY |
NPI Number: | 1346269891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 025830 |
Business Practice Address: | 5499 Nesconset Hwy Mount Sinai, NY - 117662003 |
Business Phone Number: | 6313313910 |
Business Fax Number: | 8885526184 |
Mailing Address: | 120 Newham Ave, BRENTWOOD |
State: | NY |
Postal Code: | 117175624 |
Phone Number: | 6318132143 |
Fax Number: | 8885526176 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025830 |
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 |