Doctor Name: | RICHARD EDWARD LACOURSE |
NPI Number: | 1477824316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 008774-1 |
Business Practice Address: | 35 Winding Ln Basking Ridge, NJ - 079201555 |
Business Phone Number: | 9082040797 |
Business Fax Number: | 8774219501 |
Mailing Address: | 35 Winding Ln, BASKING RIDGE |
State: | NJ |
Postal Code: | 079201555 |
Phone Number: | 9082040797 |
Fax Number: | 8774219501 |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 008774-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |