Jessica Truesdell, DPT | |
216 County Route 64, Mexico, NY 13114-3229 | |
(315) 963-0864 | |
(315) 963-7693 |
Full Name | Jessica Truesdell |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 216 County Route 64, Mexico, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699316513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 048023 (New York) | Primary |
Provider Name | Cani Pt Ot Slp & Psychology Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114065174 PECOS PAC ID: 0648223875 Enrollment ID: O20050228000455 |
Mailing Address | Practice Location Address |
---|---|
Jessica Truesdell, DPT Po Box 519, Watertown, NY 13601-0519 Ph: (315) 782-3941 | Jessica Truesdell, DPT 216 County Route 64, Mexico, NY 13114-3229 Ph: (315) 963-0864 |
Allyson Hildreth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 216 County Route 64, Mexico, NY 13114 Phone: 315-963-0864 Fax: 315-963-7693 | |
Patrice Martin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 216 County Route 64, Mexico, NY 13114 Phone: 315-963-5421 Fax: 315-963-7693 | |
Mary Claire Hartford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 County Route 64, Mexico, NY 13114 Phone: 315-963-0864 |