Organization Name: | DEELEY PHYSICAL THERAPY, PC |
NPI Number: | 1831430933 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EVELYN MARIE DEELEY (OWNER) |
Mailing Address: | 970 Conklin Rd. Conklin |
State: | NY US |
Postal Code: | 137481133 |
Phone Number: | 6077242550 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2013 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 020105-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |