Provider First Line Business Practice Location Address:
106 MONTCALM ST
Provider Second Line Business Practice Location Address:
NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, P.
Provider Business Practice Location Address City Name:
TICONDEROGA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12883-1353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-585-9285
Provider Business Practice Location Address Fax Number:
518-585-9286
Provider Enumeration Date:
12/12/2007