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Organization
SANDRA J WELLS PT PC
Active
Organization
SANDRA J WELLS PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SANDRA J WELLS PT (PHYSICAL THERAPIST)
(518) 370-0265
Entity
Organization
Contact information
Practice address
1603 UNION ST, SCHENECTADY, NY 12309-6112
(518) 370-0265
(518) 377-5777
Mailing address
1603 UNION ST, SCHENECTADY, NY 12309-6112
(518) 370-0265
(518) 377-5777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0069531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492395001
BLUE SHIELD
—
01
—
10034099
CDPHP
—
01
—
2371477
AETNA
—
01
—
43122
MVP
—
01
—
Q57201
BLUE CROSS
—
Enumeration date
08/26/2005
Last updated
02/11/2009
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