Organization
MICHAEL P. HUSON PT, LLC
Active
Other names
Huson Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK HUSON PT (SOLE MEMBER)
(315) 781-1144
Entity
Organization
Contact information
Practice address
675 W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 781-1144
(315) 781-0169
Mailing address
675 W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 781-1144
(315) 781-0169
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
023660-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110751FT
PREFERRED CARE
NY
01
—
470614
TUFTS
NY
01
—
6698519
GHI
NY
01
—
7211408
AETNA
NY
Enumeration date
09/22/2006
Last updated
08/22/2020
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