Individual
BRYANNA NICOLE FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
25459 NYS RTE 37, WATERTOWN, NY 13601-5171
(315) 955-9732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049276
NY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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