Doctor Name: | COLLEEN MARY GANUN |
NPI Number: | 1578694279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 027412 |
Business Practice Address: | 196 Birch Hill Rd Locust Valley, NY - 115601832 |
Business Phone Number: | 5167599717 |
Business Fax Number: | 5167591666 |
Mailing Address: | 2060 Bay Blvd, ATLANTIC BEACH |
State: | NY |
Postal Code: | 115091107 |
Phone Number: | 5169727766 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 027412 |
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 |