Doctor Name: | LISA MARIE HANELT |
NPI Number: | 1982680278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 6886 |
Business Practice Address: | 544 Campbell Ave Physicians Physical Therapy West Haven, CT - 065164401 |
Business Phone Number: | 2039376150 |
Business Fax Number: | 2039378517 |
Mailing Address: | 54 Timber Trl, MILFORD |
State: | CT |
Postal Code: | 064603676 |
Phone Number: | 2038768484 |
Fax Number: | 2038768484 |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |