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1427191964
MARY B MCKENNA
SYRACUSE, NY
NPI
1427191964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 005061-1)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
MARY B MCKENNA PTA
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2951
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Mailing Address
MARY B MCKENNA PTA
4368 PRINCESS PATH
LIVERPOOL, NY 13090-2025
Phone number:
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