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Organization
FINGER LAKES PHYSICAL THERAPY PC
Active
Organization
FINGER LAKES PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE WALKER PT (OWNER)
(607) 272-9337
Entity
Organization
Contact information
Practice address
376 ELMIRA RD STE 100, ITHACA, NY 14850-5115
(607) 272-9937
(888) 978-4495
Mailing address
24 MAIN ST, FREEVILLE, NY 13068-9806
(607) 272-9937
(888) 978-4495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01758694
—
NM
05
—
01905595
—
NY
Enumeration date
05/26/2006
Last updated
07/19/2021
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