Organization
METTA PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODILYNN DORA LAWLISS-CORRADO P.T. (PRESIDENT/OWNER)
(518) 658-9005
Entity
Organization
Contact information
Practice address
17438 NY RT. 22, CHERRY PLAIN, NY 12040-0020
(518) 658-9005
(518) 658-9005
Mailing address
PO BOX 20, CHERRY PLAIN, NY 12040-0020
(518) 658-9005
(518) 658-9005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
012230-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144431388
PERSONAL NPI
NY
Enumeration date
04/23/2014
Last updated
05/09/2014
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