NPI | 1093705535 |
---|---|
Former Legal Business Name | JOSEPH MACCIO PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JOSEPH G MACCIO Member P LLC Owner 518-273-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2005-10-26 |
Last Update Date | 2020-08-22 |