Doctor Name: | AMY TREDO |
NPI Number: | 1457477036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 15488 |
Business Practice Address: | 1111 Elm St Suite 9 West Springfield, MA - 010891540 |
Business Phone Number: | 4137362250 |
Business Fax Number: | 4137362254 |
Mailing Address: | 1111 Elm St, Suite 9 WEST SPRINGFIELD |
State: | MA |
Postal Code: | 010891540 |
Phone Number: | 4137362250 |
Fax Number: | 4137362254 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |