Organization
COMMUNITY PHYSICAL THERAPY & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HALLAM (BILLING)
(518) 773-2300
Entity
Organization
Contact information
Practice address
41 ARTERIAL PLAZA, SUITE 15B, GLOVERSVILLE, NY 12078
(518) 773-2300
(518) 773-2334
Mailing address
PO BOX 1038, GLOVERSVILLE, NY 12078-0009
(518) 773-2300
(518) 773-2334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017161-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02441963
—
NY
Enumeration date
09/21/2007
Last updated
09/22/2011
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