Organization
KIERAN J TRAYNOR PT PC
Active
Other names
Summit Sports & Spinal Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIERAN JOSEPH TRAYNOR DPT OCS MTC (OWNER)
(914) 834-5490
Entity
Organization
Contact information
Practice address
1420 BOSTON POST RD, LARCHMONT, NY 10538-3922
(914) 834-5490
(914) 834-5402
Mailing address
1420 BOSTON POST RD, LARCHMONT, NY 10538-3922
(914) 834-5490
(914) 834-5402
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
17658
NY
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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