Doctor Name: | DR. TIFFANY TEAL MATTERA |
NPI Number: | 1467760330 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 12692 |
Business Practice Address: | 25 Adams Rd Williamstown, MA - 012672928 |
Business Phone Number: | 4134582111 |
Business Fax Number: | |
Mailing Address: | 97 Linden Blvd, HICKSVILLE |
State: | NY |
Postal Code: | 118015937 |
Phone Number: | 5165822441 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12692 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |