Doctor Name: | MS. TARA LEE DELLERT |
NPI Number: | 1619167160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 16354 |
Business Practice Address: | 777 North St Pittsfield, MA - 012014147 |
Business Phone Number: | 4134473075 |
Business Fax Number: | |
Mailing Address: | 11 Mcallister St, PITTSFIELD |
State: | MA |
Postal Code: | 012012424 |
Phone Number: | 3034341853 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |