Organization
RESTORE OCCUPATIONAL AND PHYSICAL THERAPY SPEECH LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI A. HAGUE (ADMINISTRATOR)
(518) 235-2329
Entity
Organization
Contact information
Practice address
81 MOHAWK ST, COHOES, NY 12047-2809
(518) 235-2329
(518) 235-9791
Mailing address
81 MOHAWK ST, PO BOX 367, COHOES, NY 12047-2809
(518) 235-2329
(518) 235-9791
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
11/02/2015
Last updated
04/14/2016
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