Individual
TONYA M KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
PO BOX 133, FINE, NY 13639-0133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DR26476X
—
NY
Enumeration date
05/19/2012
Last updated
05/19/2012
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