Organization Name: | ADVANCE AT HOME PHYSICAL THERAPY P.C. |
NPI Number: | 1689979908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAJAN JOHNSON (PHYSICAL THERAPIST) |
Mailing Address: | 39 East St New Hyde Park |
State: | NY US |
Postal Code: | 110401322 |
Phone Number: | 5169468624 |
Fax Number: | 5162146563 |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 024884-1 |
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 |