| Organization Name: | CHITTENANGO PHYSICAL THERAPY, P.C. |
| NPI Number: | 1477782589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMIE BENOIT (MANAGER) |
| Mailing Address: | 1398 Route 5 W Chittenango |
| State: | NY US |
| Postal Code: | 13037 |
| Phone Number: | 3155103372 |
| Fax Number: | 3155103688 |
| NPI Enumeration Date: | 07/09/2009 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |