Doctor Name: | MRS. LEILA MONTEFRIO HISOLE CEBALLOS |
NPI Number: | 1932247590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSPT |
License Number: | 019468 |
Business Practice Address: | 55 Post Ave Ste. 205 Westbury, NY - 115904361 |
Business Phone Number: | 5163380412 |
Business Fax Number: | 5163381106 |
Mailing Address: | 15 Monmouth St, DEER PARK |
State: | NY |
Postal Code: | 117292514 |
Phone Number: | 6318394059 |
Fax Number: | 6312745940 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 019468 |
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 |