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Individual

KAREN SUE PATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
40 OMARA RD, WEST MONROE, NY 13167-3234
(315) 676-2395
Mailing address
40 OMARA RD, WEST MONROE, NY 13167-3234
(315) 676-2395

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002176-1
NY

Other

Enumeration date
05/30/2011
Last updated
05/30/2011
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