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Stephen Michael Nellis, PT
Specialist in Canastota, New York
NPI 1508948167

Stephen Michael Nellis is a Specialist based in Syracuse, NY. Stephen Michael Nellis practices in Canastota, NY and has the professional credentials of PT. The NPI Number for Stephen Michael Nellis is 1508948167 and holds a License No. 17733 (New York).

The current practice location address for Stephen Michael Nellis is 3400 Seneca Tpke Ste 7, Canastota, NY and can be reached out via phone at 315-697-8514 and via fax at 315-697-8147.

Location: 3400 Seneca Tpke Ste 7, Canastota, NY, 13210-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508948167
Provider Name
Stephen Michael Nellis
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
3400 Seneca Tpke Ste 7, Canastota, NY, 13210-1137
Phone Number
315-697-8514
Fax Number
315-697-8147
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3400 Seneca Tpke Ste 7
City
Canastota
State
New York
Zip
13032-4632
Phone Number
315-697-8514
Fax Number
315-697-8147
person
Provider Business Mailing Address Details
Address
3400 Seneca Tpke Ste 7
City
Canastota
State
New York
Zip
13032-4632
Phone Number
315-697-8514
Fax Number
315-697-8147
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
17733 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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