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General NPI Number Information
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NPI Number | 1225263536
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Entity Type | Organization
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Legal Business Name | ONONDAGA PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 05/17/2009
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 6265 STATE ROUTE 31
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City | CICERO
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State | NY
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Zip | 13039-8751
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Country | US
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Telephone | 315-635-5000
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Fax | 315-458-2975
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Provider Business Mailing Address
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Address Line | 8390 OSWEGO RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-1002
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Country | US
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Telephone | 315-635-5000
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Fax | 315-458-2975
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Authorized Official
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Title or Position | OWNER
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Name | LAURIS S RIGDON
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Credential | PT
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Telephone | 315-635-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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