Individual
CHARLENE MARGARET DESERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 SUMMIT CT, FISHKILL, NY 12524-1334
(845) 896-1500
Mailing address
8 DODGE ST, POUGHQUAG, NY 12570-5220
(845) 223-5852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014467
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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