Organization Name: | HAVEN PHYSICAL THERAPY PLLC |
NPI Number: | 1952719775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW G. CASCIOLI (PT) |
Mailing Address: | 201 Williamsburg Dr Mahopac |
State: | NY US |
Postal Code: | 105412859 |
Phone Number: | 9146868844 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2014 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0252541 |
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 |