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NPI Code Detail

MEDICARE: NEWARK PHYSICAL THERAPY & SPORTS INJURY REHABILITATION, PC

MEDICARE: NEWARK PHYSICAL THERAPY & SPORTS INJURY REHABILITATION, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1194822452
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWARK PHYSICAL THERAPY & SPORTS INJURY REHABILITATION, PC
Provider Business Mailing Address
First Line : 513 W UNION ST
Second Line :
City : NEWARK
State : NY
Zip : 14513-1365
Country : US
Telephone Number : 315-331-3784
Fax Number : 315-331-4667
Provider Business Practice Location Address
First Line : 513 W UNION ST
Second Line :
City : NEWARK
State : NY
Zip : 14513-1365
Country : US
Telephone Number : 315-331-3784
Fax Number : 315-331-4667
Authorized Official
Title or Position : OWNER
Name : MARTHA WEMETT
Credential : PT
Telephone Number : 315-331-3784
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

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Directions to “NEWARK PHYSICAL THERAPY & SPORTS INJURY REHABILITATION, PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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