Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 009687-1 | NY |
N | 225100000X | Physical Therapist | 2305204876 | VA |
N | 225100000X | Physical Therapist | 40QA01229100 | NJ |
N | 225100000X | Physical Therapist | PT018401 | PA |
N | 2251E1200X | Ergonomics | 009687-1 | NY |
N | 225XE1200X | Ergonomics | 009687-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 009687-1 | NY |
NPI | 1952501355 |
---|---|
Provider Name | Mr. Herbert H. Doerr |
First Address | Pleasantville, NY 10570-1832 |
Second Address | Pleasantville, NY 10570-1832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 23/07/2007 |