Fitness Forum Physical Therapy, Pc

NPI 1710923222 - Physical Therapist - 225100000X

NPI Details
NPI 1710923222
Enumeration Date 06/22/2006
Last Updated 12/01/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL L MICHAEL
Position PRESIDENT
Phone (315) 478-0380
Fax (315) 478-0388
Practice Location
231 WALTON ST
SUITE 200
SYRACUSE NY, 13202-1230, US
Phone (315) 478-0380
Fax (315) 478-0388
Business Location
231 WALTON ST
SUITE 200
SYRACUSE NY, 13202-1230, US
Phone (315) 478-0380
Fax (315) 478-0388
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 011796
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According to our database, Fitness Forum Physical Therapy, Pc NPI is 1710923222, taxonomy code is 225100000X and license number is 011796, license state is located at New York. Fitness Forum Physical Therapy, Pc physically located at 231 Walton St, Syracuse NY, 13202-1230. NPI Number 1033115704 has the healthcare provider type.

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1710923222 NPI number is provided on an as is basis without warranty of any kind. 1710923222 is maintained by the National Plan & Provider Enumeration System. The contents of Fitness Forum Physical Therapy, Pc are for informational purposes only.