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Organization
PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC
Active
Organization
PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROACH (PRACTICE MANAGER)
(631) 467-3700
Entity
Organization
Contact information
Practice address
30 COMMUNITY WAY, EAST GREENBUSH, NY 12061-3925
(518) 410-6605
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 438-2020
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003194-1
NY
225XH1200X
Hand Occupational Therapist
007731-1
NY
235Z00000X
Speech-Language Pathologist
014049
NY
Other
Enumeration date
06/21/2006
Last updated
02/28/2024
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