| Organization Name: | LOTUS PHYSICAL THERAPY FOR WOMEN, PLLC |
| NPI Number: | 1437399425 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUBA L STAROSTIAK (PHYSICAL THERAPIST/MEMBER) |
| Mailing Address: | 105 Shad Row Piermont |
| State: | NY US |
| Postal Code: | 109683001 |
| Phone Number: | 9142825532 |
| Fax Number: | 8456342402 |
| NPI Enumeration Date: | 03/03/2009 |
| NPI Last Update Date: | 03/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 0125481 |
| 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: | |