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Mary Butlak, ATC
NPI 1659624526 · on the registry since 2012 · sole proprietor
Practice
- Address
- 231 Walton St Ste 200
Syracuse, NY 13202 - Phone
- (315) 478-0380
- Organisation at this address
- Fitness Forum Physical Therapy, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-17
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