Individual
MRS. COLLEEN W SUDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8390 OSWEGO RD, LIVERPOOL, NY 13090-1002
(315) 652-4323
(315) 622-1110
Mailing address
8390 OSWEGO RD, LIVERPOOL, NY 13090-1002
(315) 652-4323
(315) 622-1110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0330001
NY
Other
Enumeration date
08/24/2010
Last updated
01/04/2012
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