Individual
SUSAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5558
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
(315) 342-7664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66 004139
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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