Organization
AUSTIN PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JOHNSTON AUSTIN DPT (OWNER)
(607) 498-5653
Entity
Organization
Contact information
Practice address
45 STEWART AVE., ROSCOE, NY 12776
(607) 498-5653
(607) 498-5671
Mailing address
PO BOX 157, ROSCOE, NY 12776-0157
(607) 498-5653
(607) 498-5671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005037-1
NY
252Y00000X
Early Intervention Provider Agency
0050371
NY
Other
Enumeration date
07/20/2006
Last updated
08/31/2012
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