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Organization
SPORTS, ORTHOPEDIC AND SPINE REHABILITATION, P.T. P.C.
Active
Organization
SPORTS, ORTHOPEDIC AND SPINE REHABILITATION, P.T. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE LABARGE (BUSINESS MANAGER)
(518) 563-9471
Entity
Organization
Contact information
Practice address
179 TOM MILLER RD, PLATTSBURGH, NY 12901-6424
(518) 563-9471
(518) 563-9488
Mailing address
179 TOM MILLER RD, PLATTSBURGH, NY 12901-6424
(518) 563-9471
(518) 563-9488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02279409
—
NY
Enumeration date
09/08/2005
Last updated
08/22/2020
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