Individual
JESSICA A. WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
791 W GENESEE STREET RD, SKANEATELES, NY 13152-9377
(315) 217-0170
Mailing address
791 WEST GENESEE ST., SKANEATELES, NY 13152
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
035123
NY
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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