Healthcare Provider Details

I. General information

NPI: 1073683199
Provider Name (Legal Business Name): MORRISVILLE PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BIG M PLAZA 6 CAMBRIDGE AVE
MORRISVILLE NY
13408
US

IV. Provider business mailing address

PO BOX 995
MORRISVILLE NY
13408
US

V. Phone/Fax

Practice location:
  • Phone: 315-684-3393
  • Fax: 315-684-3394
Mailing address:
  • Phone: 315-684-3393
  • Fax: 315-684-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD MAC LAFRANCE
Title or Position: OWNER PHYSICAL THERAPIST
Credential: MS PT
Phone: 315-684-3393