Doctor Name: | MRS. TRACY LEE DISANTO |
NPI Number: | 1659652535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 020266 |
Business Practice Address: | 98 William St Lyons, NY - 144891550 |
Business Phone Number: | 3159462200 |
Business Fax Number: | |
Mailing Address: | 12895 Messner Rd, SAVANNAH |
State: | NY |
Postal Code: | 131469809 |
Phone Number: | 3153653362 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2011 |
NPI Last Update Date: | 09/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 020266 |
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 |