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Organization
PPN IPA INC
Active
Organization
PPN IPA INC
Active
Other names
Private Practice Network IPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHREN HEYER DPT (CO-CHAIRPERSON)
(607) 749-2219
Entity
Organization
Contact information
Practice address
84 CORTLAND ST, HOMER, NY 13077-1517
(607) 749-2219
(607) 749-2286
Mailing address
84 CORTLAND ST, HOMER, NY 13077-1517
(607) 749-2219
(607) 749-2286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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