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Organization
LIFESPAN PT OT &SLP SERVICES PLLC
Active
Organization
LIFESPAN PT OT &SLP SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA E. MANDEL PT, PCS (OWNER)
(315) 364-7570
Entity
Organization
Contact information
Practice address
8842 STATE ROUTE 90 N, KING FERRY, NY 13081-8717
(315) 364-7570
(315) 364-8016
Mailing address
8842 STATE ROUTE 90 N, KING FERRY, NY 13081-8717
(315) 364-7570
(315) 364-8016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119347-1
NY
Other
Enumeration date
02/08/2011
Last updated
02/24/2011
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