Individual
MR. GILES C CHURCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8280
(607) 324-8283
Mailing address
217 VINCENT ST, HORNELL, NY 14843-1840
(607) 382-5115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66007220
NY
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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