is a Physical Therapy Assistant in Fort Drum, New York. practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for is 1104083013. The last update date is .
's current location address is 11050 Mt Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for is 11050 Mt Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11050 Mt Belvedere Blvd, Fort Drum, New York |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104083013 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11050 Mt Belvedere Blvd |
|---|---|
| City | Fort Drum |
| State | New York (NY) |
| Post Code | 136025438 |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 6333 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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