JONATHAN LOOMIS

AUBURN, NY
NPI1568749968
Entity TypeOrganization
Authorized ContactJONATHAN SNYDER LOOMIS
Clinical Therapist
315-252-6978
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NY  R054031-1)
Enumeration Date2011-11-14
Last Update Date2011-11-23
Business Address
JONATHAN LOOMIS
2 SOUTH ST 204
AUBURN, NY 13021-3833
Phone number: 315-252-6978
Mailing Address
JONATHAN LOOMIS
2 SOUTH STREET 204
AUBURN, NY 13021-3833
Phone number: 315-252-6978