Doctor Name: | MISS PRECIOUS AGCON |
NPI Number: | 1770999070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 036266-1 |
Business Practice Address: | 128 Lewis St Valley Stream, NY - 115803613 |
Business Phone Number: | 5167541916 |
Business Fax Number: | |
Mailing Address: | 128 Lewis St, VALLEY STREAM |
State: | NY |
Postal Code: | 115803613 |
Phone Number: | 5167541916 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2014 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 036266-1 |
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 |