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1881313104
BRYANNA NICOLE FAZIO
OSWEGO, NY
NPI
1881313104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 049276)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
BRYANNA NICOLE FAZIO PT, DPT, CSCS
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
BRYANNA NICOLE FAZIO PT, DPT, CSCS
25459 NYS RTE 37
WATERTOWN, NY 13601-5171
Phone number: 315-955-9732
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