Individual
BLASE THOMAS PACHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3061 STATE ROUTE 28, HERKIMER, NY 13350-1041
(315) 717-0020
Mailing address
3061 STATE ROUTE 28, HERKIMER, NY 13350-1041
(315) 717-0020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047744
NY
Other
Enumeration date
09/29/2021
Last updated
02/06/2023
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