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Organization
ENGAGE PT OT AND SLP
Active
Organization
ENGAGE PT OT AND SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH YATES HORTON PT (MANAGING MEMBER)
(716) 868-1114
Entity
Organization
Contact information
Practice address
3175 E GENESEE ST STE 5, SYRACUSE, NY 13224-1613
(716) 868-1114
(833) 262-8905
Mailing address
3175 E GENESEE ST STE 5, SYRACUSE, NY 13224-1613
(716) 868-1114
(833) 262-8905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/26/2020
Last updated
11/09/2022
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