Provider Demographics
NPI:1295917748
Name:PHYSICAL THERAPY OF VALATIE, PC
Entity type:Organization
Organization Name:PHYSICAL THERAPY OF VALATIE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOOSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:518-758-6070
Mailing Address - Street 1:2880 US HIGHWAY 9
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VALATIE
Mailing Address - State:NY
Mailing Address - Zip Code:12184-5423
Mailing Address - Country:US
Mailing Address - Phone:518-758-6070
Mailing Address - Fax:518-758-6379
Practice Address - Street 1:2880 US HIGHWAY 9
Practice Address - Street 2:SUITE 1
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-5423
Practice Address - Country:US
Practice Address - Phone:518-758-6070
Practice Address - Fax:518-758-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy