Doctor Name: | MRS. DENISE ROSE HERBERT |
NPI Number: | 1578847133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 034135-1 |
Business Practice Address: | 33 Tall Meadow Ct Painted Post, NY - 148709107 |
Business Phone Number: | 6077381701 |
Business Fax Number: | |
Mailing Address: | 33 Tall Meadow Ct, PAINTED POST |
State: | NY |
Postal Code: | 148709107 |
Phone Number: | 6077381701 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2011 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 034135-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |