Organization
ACHIEVE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN CANAVAN PT (OWNER/OPERATOR)
(315) 475-7121
Entity
Organization
Contact information
Practice address
4700 ONONDAGA BLVD, SYRACUSE, NY 13219-3316
(315) 475-7121
(315) 475-7144
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010239
NY
Other
Enumeration date
08/24/2005
Last updated
05/06/2008
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