Cani Pt Ot Slp & Psychology Pllc

NPI #1114065174 in Watertown, New York

Provider Information

NPI Number: 1114065174
Entity Type: Organization
Organization Name: Cani Pt Ot Slp & Psychology Pllc
Primary Specialty: Specialist
Enumeration Date: Feb 2, 2007
Last Updated: Sep 16, 2008

Practice Location

Address: 19472 US ROUTE 11
City: Watertown
State: New York
ZIP Code: 13601-5387
Phone: (315) 782-6126

Authorized Official

Name: MR. JAMES FREDERICK PEMBERTON, PT
Title: OWNER PHYSICAL THERAPIST
Phone: (315) 782-6126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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