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Organization
ENCORE PHYSICAL THERAPY, PLLC
Active
Organization
ENCORE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARYN A BADER PT, DPT (OWNER/CO-FOUNDER)
(607) 745-7441
Entity
Organization
Contact information
Practice address
100 KASSON RD, CAMILLUS, NY 13031-2250
(607) 745-7441
Mailing address
3851 SLATE HILL RD, MARCELLUS, NY 13108-9639
(607) 745-7441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03448675
—
NY
Enumeration date
06/23/2020
Last updated
06/23/2020
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