Doctor Name: | KRISTIN E BANSE |
NPI Number: | 1598792855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 012003 |
Business Practice Address: | 181 Jersey Avenue Port Jervis, NY - 12771 |
Business Phone Number: | 8458589999 |
Business Fax Number: | 8458589998 |
Mailing Address: | 20 Walnut Street, Suite B MONTGOMERY |
State: | NY |
Postal Code: | 12549 |
Phone Number: | 8454575555 |
Fax Number: | 8454575556 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 012003 |
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 |