| Doctor Name: | BRIAN TRZASKOS |
| NPI Number: | 1154468247 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, LMT, CSCS, CMP |
| License Number: | 4663 |
| Business Practice Address: | 2310 Main Street Essex, NY - 129360000 |
| Business Phone Number: | 5185343903 |
| Business Fax Number: | |
| Mailing Address: | 61 Tunnel Ln, WILLSBORO |
| State: | NY |
| Postal Code: | 129963628 |
| Phone Number: | 5185343903 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4663 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |