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Contact Information

LAKE CHAMPLAIN PHYSICAL THERAPY PLLC
2786 MAIN ST
CROWN POINT, NY12928
 Phone: 518-597-3384
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAKE CHAMPLAIN PHYSICAL THERAPY PLLC

NPI # 1841683869
LBN Legal business name LAKE CHAMPLAIN PHYSICAL THERAPY PLLC
Authorized official LEONARDO LOPES-GOMES - (OWNER/PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2015
Last updated 03/16/2015 - About 11 years ago
Identifiers
NY License # 030350-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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