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General NPI Number Information
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NPI Number | 1174122808
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Entity Type | Organization
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Legal Business Name | THE BODY WORKSHOP PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1 ROSELL DR
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City | BALLSTON LAKE
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State | NY
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Zip | 12019-1415
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Country | US
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Telephone | 518-350-4454
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19
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City | CLIFTON PARK
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State | NY
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Zip | 12065-0019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARION CONWAY
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Credential | PT
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Telephone | 518-588-0305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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