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Organization
JOAN M MACK RPT
Active
Organization
JOAN M MACK RPT
Active
Other names
Joan Mack PT & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M MACK PT (PHYSICAL THERAPIST)
(518) 374-2127
Entity
Organization
Contact information
Practice address
1574 UNION ST, SCHENECTADY, NY 12309-6120
(513) 374-2127
(518) 374-2142
Mailing address
1574 UNION ST, SCHENECTADY, NY 12309-6120
(513) 374-2127
(518) 374-2142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184495
—
NY
Enumeration date
10/21/2005
Last updated
09/14/2010
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