Doctor Name: | MRS. JULIE WISE |
NPI Number: | 1912035908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT DPT |
License Number: | PT015031 |
Business Practice Address: | 542 Boulevard Ave Dickson City, PA - 185191750 |
Business Phone Number: | 5704895010 |
Business Fax Number: | 5704895060 |
Mailing Address: | Rr 1 Box 140c, TOWANDA |
State: | PA |
Postal Code: | 188489787 |
Phone Number: | 5702657688 |
Fax Number: | 5702657422 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT015031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |