Individual
MICHAEL P BOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,MA,ECS
Contact information
Practice address
3157 HEARN DR, MARIETTA, NY 13110-3161
(315) 636-7789
Mailing address
3157 HEARN DR, MARIETTA, NY 13110-3161
(315) 636-7789
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
3845
NY
Other
Enumeration date
11/14/2006
Last updated
10/20/2011
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