Individual
MARILEE GAY WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8806
(845) 294-8650
Mailing address
162 WATERS EDGE, MONTGOMERY, NY 12549-1309
(845) 457-4648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000628-1
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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