Organization
HECTORPT SENIOR REHABILITATION SERVICES, PT, OT, SLP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR C JASEN PT (OWNER)
(518) 371-5554
Entity
Organization
Contact information
Practice address
1 WALL ST, CLIFTON PARK, NY 12065-3851
(518) 371-5554
Mailing address
PO BOX 11471, ALBANY, NY 12211-0471
(518) 389-1802
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
022235
NY
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02872104
—
NY
Enumeration date
01/24/2007
Last updated
06/21/2018
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