| Organization Name: | RODD KOCH PHYSICAL THERAPY PC |
| NPI Number: | 1467751636 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODD KOCH (PHYSICAL THERAPIST/ PRESIDENT) |
| Mailing Address: | 32 Francis Dr Wynantskill |
| State: | NY US |
| Postal Code: | 121988781 |
| Phone Number: | 5182869021 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2011 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 019307-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |