Doctor Name: | CRYSTAL B. MADYDA |
NPI Number: | 1568411452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 006220 |
Business Practice Address: | 90 Grove St Suite # 106 Ridgefield, CT - 068774114 |
Business Phone Number: | 2034318471 |
Business Fax Number: | 2034389543 |
Mailing Address: | 90 Grove St, Suite # 106 RIDGEFIELD |
State: | CT |
Postal Code: | 068774114 |
Phone Number: | 2034318471 |
Fax Number: | 2034389543 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 02/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |