Doctor Name: | JULIANNE B SCANLAN |
NPI Number: | 1497050827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 021020-1 |
Business Practice Address: | 652 Rickard Hill Rd Schoharie, NY - 121573818 |
Business Phone Number: | 5182957617 |
Business Fax Number: | |
Mailing Address: | 652 Rickard Hill Rd, SCHOHARIE |
State: | NY |
Postal Code: | 121573818 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/15/2011 |
NPI Last Update Date: | 01/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 021020-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |