Organization
G2 PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON GARROVILLAS PT, DPT (PHYSICAL THERAPIST/CO-OWNER)
(646) 479-9214
Entity
Organization
Contact information
Practice address
10 ELM ST, CORNWALL, NY 12518-1485
(646) 479-9214
Mailing address
PO BOX 467, CORNWALL, NY 12518-0467
(646) 479-9214
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
11/18/2022
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