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1174933600
ELIZABETH WORMUTH
OSWEGO, NY
NPI
1174933600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 005336-1)
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
ELIZABETH WORMUTH PTA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
ELIZABETH WORMUTH PTA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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