Doctor Name: | MS. EUGENIA MARIE TICE-SHEPARD |
NPI Number: | 1972727626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,DPT |
License Number: | 003818 |
Business Practice Address: | 160 E Main St Port Jervis, NY - 127712114 |
Business Phone Number: | 8458587110 |
Business Fax Number: | |
Mailing Address: | Po Box 297, UNIONVILLE |
State: | NY |
Postal Code: | 109880297 |
Phone Number: | 8457264375 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003818 |
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 |