Northwoods Wellness Physical & Occupational Therapy, P.l.l.c

NPI #1003099078 in Ticonderoga, New York

Provider Information

NPI Number: 1003099078
Entity Type: Organization
Organization Name: Northwoods Wellness Physical & Occupational Therapy, P.l.l.c
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 12, 2007
Last Updated: Jun 12, 2008

Practice Location

Address: 106 MONTCALM ST
Address 2: NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P.
City: Ticonderoga
State: New York
ZIP Code: 12883-1353
Phone: (518) 585-9285

Authorized Official

Name: MRS. DAWN MARIE BAZAN, MS, OTR/L
Title: OWNER AND OCCUPATIONAL THERAPIST
Phone: (518) 585-9285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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