Doctor Name: | MR. JASON PAUL LANTZ |
NPI Number: | 1548489511 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT ATC |
License Number: | 0222471 |
Business Practice Address: | 222 Middle Country Road Suite 201 Smithtown, NY - 11787 |
Business Phone Number: | 6313824043 |
Business Fax Number: | 6313824043 |
Mailing Address: | 222 Middle Country Road, Suite 201 SMITHTOWN |
State: | NY |
Postal Code: | 11787 |
Phone Number: | 6313824043 |
Fax Number: | 6313824043 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0222471 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |