Individual
MRS. DENICE ANN ROWBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SR.PT, DPT
Contact information
Practice address
14 WADAS DR, NEW YORK MILLS, NY 13417-1241
(315) 768-7331
Mailing address
14 WADAS DR, NEW YORK MILLS, NY 13417-1241
(315) 768-7331
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
004181-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004181-1
LICENSE NUMBER
NY
Enumeration date
11/09/2008
Last updated
11/09/2008
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