Organization Name: | CAPITAL AREA PHYSICAL THERAPY, PLLC |
NPI Number: | 1477995330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW JOSEPH GAETANO (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 7 Hemphill Pl Ste 130 Malta |
State: | NY US |
Postal Code: | 120204482 |
Phone Number: | 5185777106 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2013 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 033577-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |