Organization Name: | EBC PHYSICAL THERAPY AND REGISTERED NURSE ASSOCIATES, PLLC |
NPI Number: | 1871709857 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRITTA LOVEGROVE (OFFICE MANAGER) |
Mailing Address: | 251 Cole Hill Rd. East Berne |
State: | NY US |
Postal Code: | 12059 |
Phone Number: | 5188721870 |
Fax Number: | 5188721800 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |