# BIG BEAR PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295321339
- **Authorized official:** DOUGLAS ABPLANALP MPT, ATC (OWNER)
- **Authorized official phone:** (845) 594-7588

## Contact information

- **Practice address:** 62 BENTON HOLLOW RD, LIBERTY, NY 12754-2401
- **Practice address phone:** (845) 594-7588
- **Practice address fax:** (845) 859-5215
- **Mailing address:** 62 BENTON HOLLOW RD, LIBERTY, NY 12754-2401
- **Mailing address phone:** (845) 594-7588
- **Mailing address fax:** (845) 859-5215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/14/2020
- **Last updated:** 01/15/2021