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Individual

DEBORA SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
45 STEWART AVENUE, ROSCOE, NY 12776
(607) 498-5653
(607) 498-5671
Mailing address
PO BOX 157, ROSCOE, NY 12776-0157
(607) 498-5653
(607) 498-5671

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000561
NY

Other

Enumeration date
08/19/2010
Last updated
08/19/2010
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