Individual
BRIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 N CAMPUS, ITHACA, NY 14853-6007
(607) 255-7217
Mailing address
521 N CAMPUS, ITHACA, NY 14853-6007
(607) 255-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005990-01
NY
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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