Healthcare Provider Details

I. General information

NPI: 1083715015
Provider Name (Legal Business Name): HILDY DIANNE REICH PT, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 NOTT ST SUITE 105A
SCHENECTADY NY
12308-2589
US

IV. Provider business mailing address

1201 NOTT ST SUITE 105A
SCHENECTADY NY
12308-2589
US

V. Phone/Fax

Practice location:
  • Phone: 518-377-9227
  • Fax:
Mailing address:
  • Phone: 518-377-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number008789-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: