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Individual

ALICE CELIA FADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
FADDEN & ASSOCIATES PHYSICAL THERAPY, PLLC, 242 PORT WATSON STREET, CORTLAND, NY 13045
(607) 758-7212
(607) 758-3416
Mailing address
5188 HEALTH CAMP RD, HOMER, NY 13077-8456
(607) 749-3923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007216-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4123842
MVP
NY
01
4244901
AETNA US HEALTHCARE
NY
Enumeration date
01/18/2007
Last updated
10/11/2011
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