Organization
CHAUTAUQUA PT OT & SLP PROFESSIONALS PLLC
Active
Other names
Chautauqua Physical & Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRTICK E GREEN MS, PT, CERT, MDT (OWNER)
(716) 488-2322
Entity
Organization
Contact information
Practice address
15 S MAIN ST, SUITE 220, JAMESTOWN, NY 14701-6626
(716) 488-2322
(716) 488-2574
Mailing address
15 S MAIN ST, SUITE 220, JAMESTOWN, NY 14701-6626
(716) 488-2322
(716) 488-2574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012956-1
NY
Other
Enumeration date
07/07/2006
Last updated
03/21/2012
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