Organization
BRILLIANT THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY GROVER PT (PROGRAM DIRECTOR)
(518) 260-0716
Entity
Organization
Contact information
Practice address
14 OLD STATE RD S, LAKE GEORGE, NY 12845-5914
(518) 260-0716
Mailing address
14 OLD STATE RD S, LAKE GEORGE, NY 12845-5914
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
08/14/2015
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