Doctor Name: | LEWIS MICHAEL MINNELLA |
NPI Number: | 1932134210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT,DPT |
License Number: | 40QA01021500 |
Business Practice Address: | 18 E Jimmie Leeds Rd Suite B Galloway, NJ - 082059510 |
Business Phone Number: | 6096523774 |
Business Fax Number: | 6096523776 |
Mailing Address: | 217 Buchanan Ave, EDGEWATER PARK |
State: | NJ |
Postal Code: | 080102109 |
Phone Number: | 8774073422 |
Fax Number: | 8774074329 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01021500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |