Organization
CAYUGA ORTHOPEDIC & SPORTS PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD M PENS DPT (OWNER)
(315) 253-3291
Entity
Organization
Contact information
Practice address
37 W GARDEN ST, SUITE 103, AUBURN, NY 13021-2662
(315) 253-3291
(315) 258-8759
Mailing address
37 W GARDEN ST, SUITE 103, AUBURN, NY 13021-2662
(315) 253-3291
(315) 258-8759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02241569
—
NY
Enumeration date
11/08/2006
Last updated
08/22/2020
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