| Fitness Forum Physical And Occupational Therapy, Pllc | |
|
5719 Widewaters Pkwy, De Witt, NY 13214-1985 | |
| (315) 478-0380 | |
| (315) 478-0388 |
| Full Name | Fitness Forum Physical And Occupational Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Hand |
| Location | 5719 Widewaters Pkwy, De Witt, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700170545 | NPI | - | NPPES |
| BA0683 | Other | NY | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 011796-1 (New York) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | 007223-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fitness Forum Physical And Occupational Therapy, Pllc 231 Walton St, Suite 200, Syracuse, NY 13202-1885 Ph: (315) 478-0380 | Fitness Forum Physical And Occupational Therapy, Pllc 5719 Widewaters Pkwy, De Witt, NY 13214-1985 Ph: (315) 478-0380 |
Mrs. Cynthia Marie Massara, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Cornwall Dr, De Witt, NY 13214 Phone: 315-449-1815 | |
June Leo-randazzo, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-449-1301 Fax: 315-449-2707 |