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Organization

BOUNCE PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL A DUDA PT (PHYSICAL THERAPIST)
(315) 295-2100
Entity
Organization

Contact information

Practice address
4205 LONG BRANCH RD, LIVERPOOL, NY 13090-3213
(315) 295-2100
(315) 295-2125
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020377
NY

Other

Enumeration date
01/04/2007
Last updated
10/03/2007
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