Individual
ERIN L FAVRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11050 MT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Mailing address
11050 MT BELVEDERE BLVD, USA MEDDAC ATTN CREDENTIALS, FORT DRUM, NY 13602-5438
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006333
NY
Other
Enumeration date
05/19/2008
Last updated
10/23/2013
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