Doctor Name: | MS. STEPHANIE KELLY |
NPI Number: | 1710117700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0121341 |
Business Practice Address: | 11 Carnegie Ave Street Line 2 Cold Spring Harbor, NY - 117242016 |
Business Phone Number: | 6313636012 |
Business Fax Number: | |
Mailing Address: | 11 Carnegie Ave, COLD SPRING HARBOR |
State: | NY |
Postal Code: | 117242016 |
Phone Number: | 6313636012 |
Fax Number: | 6313634740 |
NPI Enumeration Date: | 07/23/2009 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0121341 |
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 |