Individual
MRS. MARY KATHERINE PLUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7613 SUSAN DR, NORTH SYRACUSE, NY 13212-1223
(315) 458-5457
Mailing address
7613 SUSAN DR, NORTH SYRACUSE, NY 13212-1223
(315) 458-5457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT003164L
PA
2251P0200X
Pediatric Physical Therapist
Primary
006902-1
NY
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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