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Individual

ELIZABETH WORMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
(315) 342-7664
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005336-1
NY

Other

Enumeration date
05/06/2014
Last updated
05/06/2014
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