| Organization Name: | GOUVERNEUR PHYSICAL THERAPY, PLLC |
| NPI Number: | 1730516394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL F LAPIERRE (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 99 W Main St Suite 2 Gouverneur |
| State: | NY US |
| Postal Code: | 136421371 |
| Phone Number: | 3155354899 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2013 |
| NPI Last Update Date: | 09/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 016313 |
| 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 |