Organization
REHABRESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GEORGE ALLEN (PHYSICAL THERAPIST ASSISTANT)
(315) 623-7114
Entity
Organization
Contact information
Practice address
307 LOWER RD, CONSTANTIA, NY 13044-2614
(315) 549-5346
Mailing address
307 LOWER RD, CONSTANTIA, NY 13044-2614
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000826
NY
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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