Doctor Name: | MRS. CYNTHIA EAGLETON TYSIAK |
NPI Number: | 1497961890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 003089-1 |
Business Practice Address: | 421 Columbia St Eddy Cohoes Rehab Center Cohoes, NY - 120472217 |
Business Phone Number: | 5182384085 |
Business Fax Number: | |
Mailing Address: | 38 Providence Dr, WEST SAND LAKE |
State: | NY |
Postal Code: | 121963021 |
Phone Number: | 5182860795 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003089-1 |
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 |