Individual provider · Type 1 NPI
Grace R. Matos-Brennen, PT
Pediatric Physical Therapist · Oakdale, NY
Practice location
1227-7 Montauk Highway
Oakdale, NY 11769
Mailing address
PO Box 726
Stony Brook, NY 11790-0726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 5729 (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…
About NPI 1659413532
Grace R. Matos-Brennen, PT's National Provider Identifier is 1659413532, issued on Feb 13, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Oakdale, NY. The record was last updated on Jul 8, 2007.