| |
101 1st St, Liverpool, NY 13088-5108 | |
(315) 422-8822 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 101 1st St, Liverpool, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740509694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 007946 (New York) | Secondary |
225X00000X | Occupational Therapist | 012318 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
921 Dewitt St #2, Syracuse, NY 13203 Ph: (315) 422-8822 | 101 1st St, Liverpool, NY 13088-5108 Ph: (315) 422-8822 |