Provider First Line Business Practice Location Address:
2209 GENESEE ST
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY DEPARTMENT
Provider Business Practice Location Address City Name:
UTICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13501-5930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-801-8173
Provider Business Practice Location Address Fax Number:
315-801-8490
Provider Enumeration Date:
12/17/2015