| Organization Name: | BRUNSWICK PHYSICAL THERAPY PLLC |
| NPI Number: | 1013157874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER HENRY ST.GERMAIN (OWNER) |
| Mailing Address: | 4164 Ny2 Cropseyville |
| State: | NY US |
| Postal Code: | 12052 |
| Phone Number: | 5187884567 |
| Fax Number: | 5182723911 |
| NPI Enumeration Date: | 03/05/2009 |
| NPI Last Update Date: | 05/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |