Organization
CHAMBERLAIN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI MCGRATH (OFFICE MANAGER)
(845) 855-2661
Entity
Organization
Contact information
Practice address
4 OAK ST STE B, PAWLING, NY 12564-1024
(845) 855-2661
(845) 855-2672
Mailing address
4 OAK ST STE B, PAWLING, NY 12564-1024
(845) 855-2661
(845) 855-2672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014258-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000105119
GHI, HMO
NY
01
—
0104435
GHI, PPO
NY
01
—
2454907
AETNA
NY
01
—
437299
MVP
NY
01
—
823080
MANAGED PHYSICAL NETWORK
NY
01
—
P2107704
OXFORD
NY
01
—
Q49431
MEDICARE ID-TYPE UNSPECIFIED
NY
Enumeration date
07/24/2006
Last updated
03/01/2010
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