Chautauqua Pt Ot & Slp Professionals Pllc

NPI #1710910690 in Jamestown, New York

Provider Information

NPI Number: 1710910690
Entity Type: Organization
Organization Name: Chautauqua Pt Ot & Slp Professionals Pllc
Primary Specialty: Specialist
Enumeration Date: Jul 7, 2006
Last Updated: Mar 21, 2012

Practice Location

Address: 15 S MAIN ST
Address 2: SUITE 220
City: Jamestown
State: New York
ZIP Code: 14701-6626
Phone: (716) 488-2322

Authorized Official

Name: MR. PATRTICK E GREEN, MS, PT, CERT, MDT
Title: OWNER
Phone: (716) 488-2322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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