Organization
BETH I.GUTHRIE
Active
Other names
Burke Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH I GUTHRIE P.T. (OWNER)
(607) 387-5729
Entity
Organization
Contact information
Practice address
1859 TRUMANSBURG RD, JACKSONVILLE, NY 14854
(607) 387-5729
(607) 387-5315
Mailing address
1859 TRUMANSBURG RD., PO BOX 122, JACKSONVILLE, NY 14854-0122
(607) 387-5729
(607) 387-5315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000149089
EXCELLUS BCBS
NY
05
—
02580385
—
NY
01
—
921585001
HEALTHNOW NEW YORK
NY
Enumeration date
10/11/2006
Last updated
07/15/2008
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