# RESTORE OCCUPATIONAL AND PHYSICAL THERAPY SPEECH LANGUAGE

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

## Provider details

- **NPI number:** 1679946586
- **Authorized official:** JODI A. HAGUE (ADMINISTRATOR)
- **Authorized official phone:** (518) 235-2329

## Contact information

- **Practice address:** 81 MOHAWK ST, COHOES, NY 12047-2809
- **Practice address phone:** (518) 235-2329
- **Practice address fax:** (518) 235-9791
- **Mailing address:** 81 MOHAWK ST, PO BOX 367, COHOES, NY 12047-2809
- **Mailing address phone:** (518) 235-2329
- **Mailing address fax:** (518) 235-9791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NY | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 04/14/2016