Organization Name: | DYNAMIC PHYSICAL THERAPY ASSOC.PLLC |
NPI Number: | 1780846154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA ELLIS (CREDENTIALING/BILLER) |
Mailing Address: | 164 E Main St Huntington |
State: | NY US |
Postal Code: | 117432955 |
Phone Number: | 6314709515 |
Fax Number: | 6314709513 |
NPI Enumeration Date: | 06/27/2008 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |