Waldron Physiotherapy, PLLC
Clinic/Center, Physical Therapy in Chittenango, NY. Organization (NPI-2).
NPI number1053842575
StatusActive
Last updated in NPPESMar 26, 2017
Details
- NPI
- 1053842575
- Entity type
- Organization (NPI-2)
- Legal business name
- Waldron Physiotherapy, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2017
- Last updated
- Mar 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 021540-1 | NY | Yes |
Practice location
103 Charlies PlChittenango, NY 13037-1080
Phone 315-503-1057 · Fax 315-409-7708
Mailing address
Po Box 480Chittenango, NY 13037-0480
Phone 315-503-1057 · Fax 315-409-7708
Authorized official
Keith P Waldron
Manager
3155031057
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