Brilliant Therapies LLC
NPI #1053796813 in Lake George, New York
Provider Information
- NPI Number
- 1053796813
- Entity Type
- Organization
- Organization Name
- Brilliant Therapies LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 22, 2015
- Last Updated
- Aug 14, 2015
Practice Location
- Address
- 14 OLD STATE RD S
- City
- Lake George
- State
- New York
- ZIP Code
- 12845-5914
- Phone
- (518) 260-0716
Authorized Official
- Name
- DOROTHY GROVER, PT
- Title
- PROGRAM DIRECTOR
- Phone
- (518) 260-0716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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