Individual
JACK PRAYTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
442 RTE 38, GREENVILLE, NY 12083
(518) 966-5888
Mailing address
442 RTE 38, GREENVILLE, NY 12083
(518) 966-5888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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