Organization
PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL THOMAS STOTE OTR (PARTNER)
(518) 884-0199
Entity
Organization
Contact information
Practice address
4 PHILLIP DR, BALLSTON SPA, NY 12020-3836
(518) 884-0199
(518) 884-0223
Mailing address
4 PHILLIP DR, BALLSTON SPA, NY 12020-3836
(518) 884-0199
(518) 884-0223
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
004985-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
005235-1
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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