CANI PT OT SLP & PSYCHOLOGY PLLC NPI 1114065174

NPI Information

CANI PT OT SLP & PSYCHOLOGY PLLC is a specialist in Watertown, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CANI PT OT SLP & PSYCHOLOGY PLLC NPI is 1114065174. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19472 US ROUTE 11
WATERTOWN, NY
ZIP 13601-387
Phone: (315) 782-6126
Fax: (315) 782-3816

The provider's authorized official is James Frederick Pemberton .
The authorized official title is Owner Physical Therapist and has the following contact phone number (315) 782-6126.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 9/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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