John Thibault

NPI #1487009445 in Utica, New York

Provider Information

NPI Number
1487009445
Entity Type
Individual
Name
John Thibault
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Apr 27, 2016
Last Updated
Apr 27, 2016

Practice Location

Address
1400 NOYES ST
City
Utica
ZIP Code
13502-3854
Phone
(315) 790-4418

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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