Doctor Name: | DONNA C. AGNEW |
NPI Number: | 1932353927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 011540-1 |
Business Practice Address: | 51 Agnew Rd Morrisonville, NY - 129624001 |
Business Phone Number: | 5185666554 |
Business Fax Number: | |
Mailing Address: | 51 Agnew Rd, MORRISONVILLE |
State: | NY |
Postal Code: | 129624001 |
Phone Number: | 5185666554 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2008 |
NPI Last Update Date: | 11/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 011540-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |