Fitness Forum Physical And Occupational Therapy, Pllc

NPI 1700170545 - Physical Therapist - 225100000X

NPI Details
NPI 1700170545
Enumeration Date 06/08/2011
Last Updated 07/12/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MICHAEL L MICHAEL
Position PRESIDENT
Phone (315) 478-0380
Fax (315) 478-0388
Practice Location
5719 WIDEWATERS PKWY
DE WITT NY, 13214-1985, US
Phone (315) 478-0380
Fax (315) 478-0388
Business Location
231 WALTON ST
SUITE 200
SYRACUSE NY, 13202-1885, US
Phone (315) 478-0380
Fax (315) 478-0388
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 011796-1
Remove 1700170545 NPI Number
 

According to our database, Fitness Forum Physical And Occupational Therapy, Pllc NPI is 1700170545, taxonomy code is 225100000X and license number is 011796-1, license state is located at New York. Fitness Forum Physical And Occupational Therapy, Pllc physically located at 5719 Widewaters Pkwy, De Witt NY, 13214-1985. NPI Number 1033115704 has the healthcare provider type.

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1700170545 NPI number is provided on an as is basis without warranty of any kind. 1700170545 is maintained by the National Plan & Provider Enumeration System. The contents of Fitness Forum Physical And Occupational Therapy, Pllc are for informational purposes only.