Deidra Onalee Ettenberger, PTA

NPI #1184715229 in Montour Falls, New York

Provider Information

NPI Number: 1184715229
Entity Type: Individual
Name: Deidra Onalee Ettenberger, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 220 STEUBEN ST
Address 2: SCHUYLER HOSPITAL
City: Montour Falls
State: New York
ZIP Code: 14865
Phone: (607) 535-7121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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