Organization Name: | NORTH EAST CHIROPRACTIC PA |
NPI Number: | 1740405604 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER MCCOY BLACKISTON (OWNER) |
Mailing Address: | 4925 Pulaski Hwy Ste B Perryville |
State: | MD US |
Postal Code: | 219031605 |
Phone Number: | 4106429110 |
Fax Number: | 4106429113 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02079 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |