Doctor Name: | JOSEPH ROBERT KEARNS |
NPI Number: | 1750331518 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT, OCS |
License Number: | 006546 |
Business Practice Address: | 1171 E Putnam Ave Riverside, CT - 068781426 |
Business Phone Number: | 2036371700 |
Business Fax Number: | 2036375447 |
Mailing Address: | 1171 E Putnam Ave, RIVERSIDE |
State: | CT |
Postal Code: | 068781426 |
Phone Number: | 2036371700 |
Fax Number: | 2036375447 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |