Provider Demographics
NPI:1659555878
Name:ASSOCIATES IN REHABILITATION TECHNOLOGY
Entity Type:Organization
Organization Name:ASSOCIATES IN REHABILITATION TECHNOLOGY
Other - Org Name:LA TORRE ORTHOPEDIC LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:518-786-8655
Mailing Address - Street 1:960 TROY SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-1610
Mailing Address - Country:US
Mailing Address - Phone:518-786-8655
Mailing Address - Fax:518-786-3594
Practice Address - Street 1:25 WILLOWBROOK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12804-5882
Practice Address - Country:US
Practice Address - Phone:518-926-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier