Doctor Name: | MIHAELA M MACK |
NPI Number: | 1831181791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | CT05123 |
Business Practice Address: | 45 Grove St New Canaan, CT - 068405330 |
Business Phone Number: | 2039665752 |
Business Fax Number: | 2039667507 |
Mailing Address: | 51 Conrad Rd, NEW CANAAN |
State: | CT |
Postal Code: | 068406725 |
Phone Number: | 2039661015 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | CT05123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |