Organization · Type 2 NPI
Avilla Inc
Pediatric Physical Therapist · Medford, NY
Practice location
5 Camden Ct
Medford, NY 11763-1583
Fax (631) 736-4334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | None listed |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
Another provider at this address
About NPI 1295499176
Avilla Inc's National Provider Identifier is 1295499176, issued on Oct 26, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Medford, NY. The record was last updated on Oct 26, 2021.