Individual
MICHAEL J TABORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
332 CLIFFORD DR, VESTAL, NY 13850-1010
(607) 349-1939
Mailing address
332 CLIFFORD DR, VESTAL, NY 13850-1010
(607) 349-1939
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004377-1
NY
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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