Provider Demographics
NPI:1790774727
Name:LAMARCO PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:LAMARCO PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:518-587-3256
Mailing Address - Street 1:417 GEYSER RD
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3022
Mailing Address - Country:US
Mailing Address - Phone:518-587-3256
Mailing Address - Fax:518-587-5210
Practice Address - Street 1:417 GEYSER RD
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-3022
Practice Address - Country:US
Practice Address - Phone:518-587-3256
Practice Address - Fax:518-587-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty