Individual
AMY E HAEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3226 WILKENS RD, RACKER CENTERS, ITHACA, NY 14886
(607) 272-5891
Mailing address
PO BOX 105, TRUMANSBURG, NY 14886
(607) 256-1839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0115441
NY
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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