Most Relevant Information
Provider Data
| NPI Number: | 1003366717 |
| Provider Name: | JORDAN IRIS BAKOWSKI PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 040337 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 10/05/2016 |
Provider Practice Location
900 WATERVLIET SHAKER RD
SUITE 102
ALBANY
NY
122051002
Practice Location Phone/Fax
| Phone: | 5188624900 |
| Fax: |
Provider Mailing Location
900 WATERVLIET SHAKER RD
SUITE 102
ALBANY
NY
122051002
Provider Mailing Phone/Fax
| Phone: | 5188624900 |
| Fax: |