Individual
JACQUELINE M ENDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1431
(518) 525-1927
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1431
(518) 525-1927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000053-1
NY
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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