Organization
ELEMENTAL PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SWENSON (OWNER/PHYSICAL THERAPIST)
(518) 212-7515
Entity
Organization
Contact information
Practice address
2 NORMANSKILL BLVD STE 206, DELMAR, NY 12054-1331
(518) 212-7515
Mailing address
22 BITTERSWEET LN, SLINGERLANDS, NY 12159-9424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05378607
—
NY
Enumeration date
03/06/2023
Last updated
03/06/2023
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