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Organization
MAPLEWOOD PHYSICAL THERAPY PLLC
Active
Organization
MAPLEWOOD PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MATTHIE (COMPLIANCE OFFICER)
(315) 393-3072
Entity
Organization
Contact information
Practice address
205 STATE STREET RD, CANTON, NY 13617-3302
(315) 386-4541
Mailing address
205 STATE STREET RD, CANTON, NY 13617-3302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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