BERGEN BUTALA

SYRACUSE, NY
NPI1235505868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  039190-1)
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- BERGEN BUTALA
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 612-801-1520
Mailing Address
-- BERGEN BUTALA
210 W DIVISION ST APT 40
SYRACUSE, NY 13204-1592
Phone number:
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