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Individual

BRIAN TRZASKOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, LMT, CSCS, CMP

Contact information

Practice address
2310 MAIN STREET, ESSEX, NY 12936-0000
(518) 534-3903
Mailing address
61 TUNNEL LN, WILLSBORO, NY 12996-3628
(518) 534-3903

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013882
NY
225100000X
Physical Therapist
4663
CO
225700000X
Massage Therapist
0183651
NY

Other

Enumeration date
01/30/2007
Last updated
07/19/2011
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