Doctor Name: | ANNYENI M DORMER |
NPI Number: | 1811213986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA01219700 |
Business Practice Address: | 120 Noyes Dr Park Ridge, NJ - 076561294 |
Business Phone Number: | 2015051777 |
Business Fax Number: | |
Mailing Address: | 336 Prospect Ave, HACKENSACK |
State: | NJ |
Postal Code: | 076012506 |
Phone Number: | 2016781800 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2010 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01219700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
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 |