| NPI | 1699047373 |
|---|---|
| Doing Business As | COMMUNITY CARE PHYSICAL THERAPY - LATHAM |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 010879) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-01-25 |