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Jeremy Willard, PTA
NPI 1124190327 · on the registry since 2006
Practice
- Address
- St. Lawrence Ntsarc Inc
63 1-2 B South Main Street
Norwood, NY 13668 - Phone
- (315) 353-6652
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York