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Organization
RESTORE OCCUPATIONAL AND PHYSICAL THERAPY SPEECH LANGUAGE
Active
Organization
RESTORE OCCUPATIONAL AND PHYSICAL THERAPY SPEECH LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI A. HAGUE (ADMINISTRATOR)
(518) 235-2329
Entity
Organization
Contact information
Practice address
81 MOHAWK ST, COHOES, NY 12047-2809
(518) 235-2329
(518) 235-9791
Mailing address
81 MOHAWK ST, PO BOX 367, COHOES, NY 12047-2809
(518) 235-2329
(518) 235-9791
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
11/02/2015
Last updated
04/14/2016
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