Doctor Name: | MR. JOHN SABULIS |
NPI Number: | 1770591240 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T |
License Number: | 004326 |
Business Practice Address: | 110 Grand St Apt. 4a Jersey City, NJ - 073026478 |
Business Phone Number: | 2012090640 |
Business Fax Number: | 2012090640 |
Mailing Address: | 110 Grand St, Apt. 4a JERSEY CITY |
State: | NJ |
Postal Code: | 073026478 |
Phone Number: | 2012090640 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 04/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004326 |
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 |