Organization
FINGERLAKESSPEECH-LANGUAGEPATHOLOG&PHYSICALTHEROPYSERVICES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA ANN DEJOHN (PRESIDENT)
(315) 568-2570
Entity
Organization
Contact information
Practice address
27 TALL OAKS DR, SENECA FALLS, NY 13148-1133
(315) 568-2570
(315) 568-2570
Mailing address
27 TALL OAKS DR, P.O. BOX 477, SENECA FALLS, NY 13148-1133
(315) 568-2570
(315) 568-2570
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
008177
NY
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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