Individual
HEATHER ANN VICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4 HAWTHORNE LN, POUGHKEEPSIE, NY 12603-5678
(845) 463-5661
Mailing address
4 HAWTHORNE LN, POUGHKEEPSIE, NY 12603-5678
(845) 463-5661
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
018241-1
NY
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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