Primary Physical Therapy Pllc
NPI #1164745774 in North Syracuse, New York
Provider Information
- NPI Number
- 1164745774
- Entity Type
- Organization
- Organization Name
- Primary Physical Therapy Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 10, 2010
- Last Updated
- Jul 1, 2010
Practice Location
- Address
- 792 N MAIN ST
- Address 2
- STE 100C
- City
- North Syracuse
- State
- New York
- ZIP Code
- 13212-1644
- Phone
- (315) 458-2552
Authorized Official
- Name
- MR. JEFFREY W HATHAWAY, PT
- Title
- OWNER/PT
- Phone
- (315) 451-6541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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