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Organization

INNOVA PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON REGNER PT (OWNER)
(518) 632-4944
Entity
Organization

Contact information

Practice address
357 BAY RD, SUITE 4, QUEENSBURY, NY 12804-3050
(518) 632-4944
(518) 632-4945
Mailing address
357 BAY RD, SUITE 4, QUEENSBURY, NY 12804-3050
(518) 632-4944
(518) 632-4945

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0254361
NY

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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