Organization Name: | ELIZABETH INGALLS PHYSICAL THERAPIST PLLC |
NPI Number: | 1477701712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH ANNE INGALLS (DIRECTOR) |
Mailing Address: | 1 Penfield Ave Croton On Hudson |
State: | NY US |
Postal Code: | 105203014 |
Phone Number: | 9142611060 |
Fax Number: | 9142712713 |
NPI Enumeration Date: | 08/28/2008 |
NPI Last Update Date: | 08/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 015539-1 |
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: |