Kelly M Zawacki, PT

NPI #1194811125 in Fayetteville, New York

Provider Information

NPI Number: 1194811125
Entity Type: Individual
Name: Kelly M Zawacki, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 5, 2006
Last Updated: Jul 6, 2010

Practice Location

Address: 510 TOWNE DR
Address 2: STE 100
City: Fayetteville
State: New York
ZIP Code: 13066-1331
Phone: (315) 637-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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