Individual
CARYL PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
159 WEST FIRST STREET, OSWEGO, NY 13126
(315) 342-9575
Mailing address
3143 WEST RD, CONSTABLEVILLE, NY 13325-2312
(315) 397-8196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022654-1
NY
Other
Enumeration date
07/02/2019
Last updated
09/02/2021
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