NPI | 1265936496 |
---|---|
Doing Business As | THERAPEUTIC EVOLUTION PT |
Entity Type | Organization |
Authorized Contact | LAURA LYNN PURIFICATO Owner/PT 518-368-4119 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0219471) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2023-03-20 |