Individual
SARAH TATE GANNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-2300
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-2300
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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