Doctor Name: | SANTRESA GREENIDGE |
NPI Number: | 1659772036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 21243 |
Business Practice Address: | 63 S Main St Suite 2 Randolph, MA - 023684862 |
Business Phone Number: | 7819619200 |
Business Fax Number: | |
Mailing Address: | 63 S Main St, Suite 2 RANDOLPH |
State: | MA |
Postal Code: | 023684862 |
Phone Number: | 7819619200 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21243 |
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 |