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Organization
SPRING LAKE PT PC
Active
Organization
SPRING LAKE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI MARIA WANAMAKER (OFFICE COORDINATOR)
(845) 458-4932
Entity
Organization
Contact information
Practice address
15 WYANDOTTE AVE, HIGHLAND FALLS, NY 10928-1311
(845) 446-4646
Mailing address
1008 PINE VW, NEW WINDSOR, NY 12553-4902
(845) 458-4932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00405598001
HEALTHNOW
NY
01
—
10088212
CDHP
NY
01
—
1972227
UNITEDHEALTHCARE
NY
01
—
781294
MVP
NY
Enumeration date
02/03/2007
Last updated
07/21/2022
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