Doctor Name: | SARA ELIZABETH COLASUONNO |
NPI Number: | 1588903579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 036075 |
Business Practice Address: | 635 Belle Terre Rd Suite 204 Port Jefferson, NY - 117771935 |
Business Phone Number: | 6314740008 |
Business Fax Number: | 6314740224 |
Mailing Address: | 635 Belle Terre Rd, Suite 204 PORT JEFFERSON |
State: | NY |
Postal Code: | 117771935 |
Phone Number: | 6314740008 |
Fax Number: | 6314740224 |
NPI Enumeration Date: | 02/11/2013 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 036075 |
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 |