Individual provider · Type 1 NPI
Divina Dacanay Cornelio, PHYSICAL THERAPIST
Pediatric Physical Therapist · Bronx, NY
Practice location
1818 Holland Ave
Bronx, NY 10462-3625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 021725 (NY) |
| Geriatric Physical Therapist | 2251G0304X | 021725 (NY) |
| Pediatric Physical Therapist Primary | 2251P0200X | 021725 (NY) |
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…
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About NPI 1578876082
Divina Dacanay Cornelio, PHYSICAL THERAPIST's National Provider Identifier is 1578876082, issued on Jul 26, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Bronx, NY. The record was last updated on Jul 26, 2010.