Organization
ROGER W. HERBOWY, PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN MARIE MCCULLY O.T. (OCCUPATIONAL THERAOIST)
(315) 735-2728
Entity
Organization
Contact information
Practice address
2516 GENESEE ST, UTICA, NY 13502-5814
(315) 735-2728
(315) 735-7820
Mailing address
2516 GENESEE ST, UTICA, NY 13502-5814
(315) 735-2728
(315) 735-7820
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
012286-1
NY
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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