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Jeremy W Earl, PT

Physical Therapist in Utica, NY. Individual provider (NPI-1).

NPI number1407001035
StatusActive
Last updated in NPPESNov 24, 2008

Details

NPI
1407001035
Entity type
Individual (NPI-1)
Name
Mr. Jeremy W Earl
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 24, 2008
Last updated
Nov 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist021116-1NYYes

Practice location

1601 Armory Dr
Building A
Utica, NY 13501-5405

Phone 315-798-4006 · Fax 315-798-4004

Mailing address

116 Dryden Ave
Utica, NY 13502-5716

Phone 315-725-1152 · Fax 315-798-4004

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