Organization
ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC
Active
Organization
ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHELE R KING MS,OTR/L (MEMBER)
(315) 207-2222
Entity
Organization
Contact information
Practice address
127 E 1ST ST, OSWEGO, NY 13126-2104
(315) 207-2222
(315) 343-6923
Mailing address
127 E 1ST ST, OSWEGO, NY 13126-2104
(315) 207-2222
(315) 343-6923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5212370001
MEDICARE NSC PTAN
NY
Enumeration date
10/16/2006
Last updated
06/09/2021
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