MEDICARE: MRS. LORI J SITTS PT

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
1	225100000X	Physical Therapist	0112601	NY

General Provider Information

NPI Number	:	1215921119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI J SITTS PT

Provider Business Mailing Address
First Line	:	3995B ONEIDA ST
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-9706
Country	:	US
Telephone Number	:	315-737-1414
Fax Number	:	315-737-1440

Provider Business Practice Location Address
First Line	:	3995B ONEIDA ST
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-9706
Country	:	US
Telephone Number	:	315-737-1414
Fax Number	:	315-737-1440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/08/2007

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