Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 23, 2012
License(s)
028541 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 95 CRYSTAL RUN RD | Middletown, NY 10941-7001 | 845-703-6999 |
| MAILING | 155 CRYSTAL RUN RD | Middletown, NY 10941-4057 | 845-703-6999 |
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