Individual
CASEY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038469-1
NY
225100000X
Physical Therapist
PT024154
PA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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