Individual
MRS. JULIE WORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
7291 STATE FAIR BLVD, BALDWINSVILLE, NY 13027-9194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06587
OH
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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