Individual
MR. H M CHATHURAN WIKUM HERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 CORNELL DR, CANTON, NY 13617-1037
(315) 386-7011
Mailing address
13938 87TH AVE, BRIARWOOD, NY 11435-3018
(315) 244-8192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009973-1
NY
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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