Doctor Name: | BRETT WELLS |
NPI Number: | 1780767327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 0260001 |
Business Practice Address: | 111 Main St Cornwall, NY - 125181530 |
Business Phone Number: | 8455341200 |
Business Fax Number: | |
Mailing Address: | 154 Old State Rd, HIGHLAND FALLS |
State: | NY |
Postal Code: | 109284303 |
Phone Number: | 8453259826 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 11/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0260001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |