Individual
KELLIE ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
242 PORT WATSON ST, FADDEN & ASSOCIATES PHYSICAL THERAPY PLLC, CORTLAND, NY 13045
(607) 758-7212
(607) 758-3416
Mailing address
607 E MOLLOY RD, MATTYDALE, NY 13211-1645
(315) 455-8463
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002025-1
NY
Other
Enumeration date
04/27/2007
Last updated
10/11/2011
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