Organization · NPI-2
315 Therapy For Pt, Ot And Slp, PLLC
Early Intervention Provider Agency · Oswego, NY
NPI number1801573852
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1801573852
- Entity type
- Organization (NPI-2)
- Legal business name
- 315 Therapy For Pt, Ot And Slp, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2023
- Certification date
- Jul 5, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 251B00000X | Case Management | – | – | |
| 2251P0200X | Physical Therapist, Pediatrics | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – |
Practice location
155 W 1st StreetOswego, NY 13126
Phone 315-342-9575
Mailing address
155 W 1st StreetOswego, NY 13126
Phone 315-342-9575
Other practice locations
10 Burkle Street
Oswego, NY 13126
Oswego, NY 13126
Phone 315-342-4600
5820 Heritage Landing Dr
East Syracuse, NY 13057-9378
East Syracuse, NY 13057-9378
Phone 315-701-1107
16783 Ives Street Ext
Watertown, NY 13601-5312
Watertown, NY 13601-5312
Phone 315-701-1107
8382 Willett Pkwy
Baldwinsville, NY 13027-1306
Baldwinsville, NY 13027-1306
Phone 315-857-0800
706 S 4th St
Fulton, NY 13069-4905
Fulton, NY 13069-4905
Phone 315-887-5250
Authorized official
Abigail Weaver
Coo
3155290793
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