Provider First Line Business Practice Location Address: 
28 HUDSON ST
    Provider Second Line Business Practice Location Address: 
CARPENTER PHYSICAL THERAPY, PLLC
    Provider Business Practice Location Address City Name: 
WARRENSBURG
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
12885-1204
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
518-623-3410
    Provider Business Practice Location Address Fax Number: 
518-338-0125
    Provider Enumeration Date: 
09/13/2006