Doctor Name: | MS. ZAHAVA WILSON |
NPI Number: | 1740420868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,P.T. |
License Number: | 011359 |
Business Practice Address: | 38 Tanglewood Rd West Hurley, NY - 124915909 |
Business Phone Number: | 8456795226 |
Business Fax Number: | |
Mailing Address: | 38 Tanglewood Rd, WEST HURLEY |
State: | NY |
Postal Code: | 124915909 |
Phone Number: | 8456795226 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2009 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 011359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |