Organization
BIG BEAR PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ABPLANALP MPT, ATC (OWNER)
(845) 594-7588
Entity
Organization
Contact information
Practice address
62 BENTON HOLLOW RD, LIBERTY, NY 12754-2401
(845) 594-7588
(845) 859-5215
Mailing address
62 BENTON HOLLOW RD, LIBERTY, NY 12754-2401
(845) 594-7588
(845) 859-5215
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/14/2020
Last updated
01/15/2021
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