Organization
WALDRON PHYSIOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH P WALDRON PT, DPT (MANAGER)
(315) 503-1057
Entity
Organization
Contact information
Practice address
103 CHARLIES PL, CHITTENANGO, NY 13037-1080
(315) 503-1057
(315) 409-7708
Mailing address
PO BOX 480, CHITTENANGO, NY 13037-0480
(315) 503-1057
(315) 409-7708
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
021540-1
NY
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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