Doctor Name: | TOM MATHEW |
NPI Number: | 1598038143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 034366 |
Business Practice Address: | 275 Rockaway Tpke Lawrence, NY - 115591272 |
Business Phone Number: | 5153712225 |
Business Fax Number: | 5163713773 |
Mailing Address: | 189 Beach 122nd St, ROCKAWAY PARK |
State: | NY |
Postal Code: | 116941815 |
Phone Number: | 6467554526 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2012 |
NPI Last Update Date: | 06/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 034366 |
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 |