Organization
ADIRONDACK MANUAL PHYSICAL THERAPY, PLLC
Active
Organization
ADIRONDACK MANUAL PHYSICAL THERAPY, PLLC
Active
Other names
AMPT
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM M WILLIS PT (OWNER)
(518) 255-5049
Entity
Organization
Contact information
Practice address
578 AVIATION RD STE 30, QUEENSBURY, NY 12804-1814
(518) 538-8778
Mailing address
221 MAIN ST, SOUTH GLENS FALLS, NY 12803-5118
(518) 225-5049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027046-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02739691
—
NY
Enumeration date
04/11/2011
Last updated
07/12/2023
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