Individual
LAURIE CHANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1977 MARSHLAND RD, APALACHIN, NY 13732-1440
(607) 689-0922
Mailing address
708 POWERS RD, CONKLIN, NY 13748-1308
(607) 724-8315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66 006437
NY
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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