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Organization
NEW THERAPY
Active
Organization
NEW THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MICHAELS (OFFICE/BILLING MGR)
(607) 795-1539
Entity
Organization
Contact information
Practice address
2977 WESTINGHOUSE ROAD, HORSEHEADS, NY 14845-8120
(607) 795-1539
(607) 795-1918
Mailing address
2977 WESTINGHOUSE ROAD, HORSEHEADS, NY 14845-8120
(607) 795-1539
(607) 795-1918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014843-1
NY
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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