Healthcare Provider Details

I. General information

NPI: 1851498182
Provider Name (Legal Business Name): ZOE JEANNE DEVITO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WEST AVENUE SUITE 125 SPORTS PT OF NY PC
SARATOGA SPRINGS NY
12866
US

IV. Provider business mailing address

270 GRAND AVENUE
SARATOGA SPRINGS NY
12866
US

V. Phone/Fax

Practice location:
  • Phone: 518-583-7537
  • Fax: 518-583-7606
Mailing address:
  • Phone: 518-587-4202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number019459-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: