Organization
TRAC SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI JOHNSON PTA (PARTNER)
(518) 435-1295
Entity
Organization
Contact information
Practice address
14 ROLAND DR, ALBANY, NY 12208-1023
(518) 435-1295
Mailing address
PO BOX 1092, LATHAM, NY 12110-0059
(518) 435-1295
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
007063-1
NY
225200000X
Physical Therapy Assistant
002113-1
NY
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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