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Organization
ECLIPSE PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization
ECLIPSE PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN MILLROOD PT (PHYSICAL THERAPIST)
(845) 647-4171
Entity
Organization
Contact information
Practice address
6325 ROUTE 209, KERHONKSON, NY 12446
(845) 647-4171
(845) 647-4174
Mailing address
PO BOX 685, KERHONKSON, NY 12446-0685
(845) 647-4171
(845) 647-4174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011893
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q5W5D1
PTAN
NY
Enumeration date
03/02/2007
Last updated
02/20/2023
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