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Kristin Ann Di Vico, MSPT
Pediatric Physical Therapist in Mohegan Lake, New York
NPI 1700076866

Kristin Ann Di Vico is a Pediatric Physical Therapist based in Mohegan Lake, NY and is specialized in Pediatrics. Kristin Ann Di Vico practices in Mohegan Lake, NY and has the professional credentials of MSPT. The NPI Number for Kristin Ann Di Vico is 1700076866 and holds a License No. PT 014 318-1 (New York).

The current practice location address for Kristin Ann Di Vico is 3400 N Shelley St, Mohegan Lake, NY and can be reached out via phone at 914-962-3458.

Location: 3400 N Shelley St, Mohegan Lake, NY, 10547-1441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700076866
Provider Name
Kristin Ann Di Vico
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
3400 N Shelley St, Mohegan Lake, NY, 10547-1441
Phone Number
914-962-3458
Fax Number
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 N Shelley St
City
Mohegan Lake
State
New York
Zip
10547-1441
Phone Number
914-962-3458
Fax Number
person
Provider Business Mailing Address Details
Address
3400 N Shelley St
City
Mohegan Lake
State
New York
Zip
10547-1441
Phone Number
914-962-3458
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT 014 318-1 (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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