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Organization
NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P.L.L.C
Active
Organization
NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE BAZAN MS, OTR/L (OWNER AND OCCUPATIONAL THERAPIST)
(518) 585-9285
Entity
Organization
Contact information
Practice address
106 MONTCALM ST, NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P., TICONDEROGA, NY 12883-1353
(518) 585-9285
(518) 585-9286
Mailing address
106 MONTCALM ST, NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P., TICONDEROGA, NY 12883-1353
(518) 585-9285
(518) 585-9286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014005-1
NY
225100000X
Physical Therapist
027321-1
NY
225X00000X
Occupational Therapist
Primary
007563-1
NY
Other
Enumeration date
12/12/2007
Last updated
06/12/2008
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