Individual
CHEYENNE CASSIDY VIVLAMORE ZION HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
160 W 4TH ST, OSWEGO, NY 13126-2535
(315) 591-5873
Mailing address
160 W 4TH ST, OSWEGO, NY 13126-2535
(315) 591-5873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047319
NY
261QP2000X
Physical Therapy Clinic/Center
047319
NY
Other
Enumeration date
06/18/2021
Last updated
11/29/2022
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