Organization Name: | DEER PARK PHYSICAL THERAPY AND CHIROPRACTIC PLLC |
NPI Number: | 1841608841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD JOSEPH BREDOW (OWNER, PHYSICAL THERAPIST) |
Mailing Address: | 2103 Deer Park Ave Deer Park |
State: | NY US |
Postal Code: | 117291319 |
Phone Number: | 6312424500 |
Fax Number: | 6312420885 |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 021022-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |