Individual
LATRENDA H CARSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ASST
Contact information
Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(315) 478-0463
(315) 476-9757
Mailing address
115 CHICOPEE MEWS, CAMILLUS, NY 13031-2075
(315) 478-0463
(315) 476-9757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005125-1
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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