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Mrs. Ellen W Desandis, PT
Pediatric Physical Therapist in Newark, New York
NPI 1477719771

Ellen W Desandis is a Pediatric Physical Therapist based in Newark, NY and is specialized in Pediatrics. Ellen W Desandis practices in Newark, NY and has the professional credentials of PT. The NPI Number for Ellen W Desandis is 1477719771 and holds a License No. 013515-1 (New York).

The current practice location address for Ellen W Desandis is 848 Peirson Ave, Newark, NY and can be reached out via phone at 315-331-2086 and via fax at 315-331-3215.

Location: 848 Peirson Ave, Newark, NY, 14513-9762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477719771
Provider Name
Ellen W Desandis
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
848 Peirson Ave, Newark, NY, 14513-9762
Phone Number
315-331-2086
Fax Number
315-331-3215
Provider Enumeration Date
08/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
848 Peirson Ave
City
Newark
State
New York
Zip
14513-9762
Phone Number
315-331-2086
Fax Number
315-331-3215
person
Provider Business Mailing Address Details
Address
848 Peirson Ave
City
Newark
State
New York
Zip
14513-9762
Phone Number
315-331-2086
Fax Number
315-331-3215
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
013515-1 (New York)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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