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1790867547
KEVIN J NELLIS
SYRACUSE, NY
NPI
1790867547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
174400000X Specialist
(Licence: NY 8133)
Enumeration Date
2006-10-20
Last Update Date
2011-02-09
Business Address
-- KEVIN J NELLIS PT
207 PINE ST
SYRACUSE, NY 13210-1137
Phone number: 315-476-3175
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Mailing Address
-- KEVIN J NELLIS PT
207 PINE ST
SYRACUSE, NY 13210-1137
Phone number: 315-476-3175
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