Brian Poremba

NPI #1285958595 in Woodstock, New York

Provider Information

NPI Number: 1285958595
Entity Type: Individual
Name: Brian Poremba
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2010
Last Updated: Mar 16, 2010

Practice Location

Address: 17 MAVERICK TER
City: Woodstock
State: New York
ZIP Code: 12498-1723
Phone: (845) 679-7643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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