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Organization
JUVENTAS PHYSICAL OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC
Active
Organization
JUVENTAS PHYSICAL OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC
Active
Other names
Juventas Physical Occupational & Speech Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE RICHARDS PT, DPT, MSPT (PHYSICAL THERAPIST/MANAGING PARTNER)
(607) 377-7482
Entity
Organization
Contact information
Practice address
65 E MARKET ST STE 201, CORNING, NY 14830-2708
(607) 377-7482
Mailing address
65 E MARKET ST STE 201, CORNING, NY 14830-2708
(607) 377-7482
(607) 962-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019336-1
NY
225X00000X
Occupational Therapist
012869-1
NY
235Z00000X
Speech-Language Pathologist
020655-1
NY
Other
Enumeration date
06/26/2012
Last updated
05/19/2023
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