Doctor Name: | MR. JEREMY M. WARCHOL |
NPI Number: | 1659551778 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 21580-1 |
Business Practice Address: | 203 State Street Northern Physical Therapy, Pllc Ogdensburg, NY - 13669 |
Business Phone Number: | 3153932024 |
Business Fax Number: | 3153932025 |
Mailing Address: | 203 State Street, Northern Physical Therapy, Pllc OGDENSBURG |
State: | NY |
Postal Code: | 13669 |
Phone Number: | 3153932024 |
Fax Number: | 3153932025 |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21580-1 |
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 |