Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 4203 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 4203 | NY |
NPI | 1053564229 |
---|---|
Provider Name | Ms. Therese Maureen Rowcroft |
First Address | Catskill, NY 12414-1046 |
Second Address | South Cairo, NY 12482-1220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2008 |
Last Update Date | 31/10/2008 |