Organization Name: | KIERAN J TRAYNOR PT PC |
NPI Number: | 1346409372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIERAN JOSEPH TRAYNOR (OWNER) |
Mailing Address: | 1420 Boston Post Rd Larchmont |
State: | NY US |
Postal Code: | 105383922 |
Phone Number: | 9148345490 |
Fax Number: | 9148345402 |
NPI Enumeration Date: | 06/05/2008 |
NPI Last Update Date: | 06/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 17658 |
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: |