Individual
DENNIS DEWANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
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
002926-1
NY
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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