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Organization
FADDEN & ASSOCIATES PHYSICAL THERAPY PLLC
Active
Organization
FADDEN & ASSOCIATES PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CELIA FADDEN PT (OWNER)
(607) 758-7212
Entity
Organization
Contact information
Practice address
242 PORT WATSON ST, CORTLAND, NY 13045-2823
(607) 758-7212
(607) 758-3416
Mailing address
242 PORT WATSON ST, CORTLAND, NY 13045-2823
(607) 758-7212
(607) 758-3416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012889-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871701177
NPI
NY
01
—
25685
EXCELLUS BCBS GROUP #
NY
Enumeration date
05/18/2007
Last updated
03/06/2017
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