Provider Demographics
NPI:1558505792
Name:TAFT, AIMEE L (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:L
Last Name:TAFT
Suffix:
Gender:F
Credentials:MSPT
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Mailing Address - Street 1:2 DELAVERGNE AVE
Mailing Address - Street 2:CENTER FOR PHYSICAL THERAPY
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1202
Mailing Address - Country:US
Mailing Address - Phone:845-297-4789
Mailing Address - Fax:845-297-8596
Practice Address - Street 1:2 DELAVERGNE AVE
Practice Address - Street 2:CENTER FOR PHYSICAL THERAPY
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1202
Practice Address - Country:US
Practice Address - Phone:845-297-4789
Practice Address - Fax:845-297-8596
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY031289-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY031289-1OtherNEW YORK STATE LICENSE