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Organization
PEAK PHYSICAL THERAPY SOUTH PLLC
Active
Organization
PEAK PHYSICAL THERAPY SOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L WALKER MS PT (DIRECTOR PHYSICAL THERAPIST)
(845) 496-1616
Entity
Organization
Contact information
Practice address
84 EAST MAIN STREET, WASHINGTONVILLE, NY 12586
(845) 496-1616
(845) 496-1674
Mailing address
84 EAST MAIN STREET, WASHINGTONVILLE, NY 12586
(845) 496-1616
(845) 496-1674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0133321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000017827
AFFINITY
—
01
—
10034454
CDPHP
—
01
—
1193077
AETNA HMO
—
01
—
20547P
PRIS
—
01
—
42898
MVP
—
01
—
44709625
HIP
—
01
—
5299092
AETNA NON HMO
—
01
—
K095
CDPHP GR#
—
01
—
Q08K31
BCBS
—
Enumeration date
11/14/2006
Last updated
08/22/2020
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