Provider Demographics
NPI:1346907656
Name:GARNET PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:GARNET PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KOWALCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:518-409-9816
Mailing Address - Street 1:PO BOX 764
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12817-0764
Mailing Address - Country:US
Mailing Address - Phone:518-409-9816
Mailing Address - Fax:518-671-3747
Practice Address - Street 1:23 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:NY
Practice Address - Zip Code:12817
Practice Address - Country:US
Practice Address - Phone:518-409-9816
Practice Address - Fax:518-671-3747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty