Thomas Michael Rivard, PTA

NPI #1568704518 in Camillus, New York

Provider Information

NPI Number: 1568704518
Entity Type: Individual
Name: Thomas Michael Rivard, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 17, 2013
Last Updated: Mar 17, 2013

Practice Location

Address: 5415 W GENESEE ST
Address 2: SUITE 101
City: Camillus
State: New York
ZIP Code: 13031-2162
Phone: (315) 487-8278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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