Provider Demographics
NPI:1346426715
Name:CADOT, VIRGINIA PAGE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:PAGE
Last Name:CADOT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3807
Mailing Address - Country:US
Mailing Address - Phone:212-682-8727
Mailing Address - Fax:
Practice Address - Street 1:48 E 43RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3807
Practice Address - Country:US
Practice Address - Phone:212-682-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029929-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist