Individual
MRS. DEIRDRE SHERIDAN HALTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
159 W MAIN ST, CYR CENTER, STAMFORD, NY 12167-1027
(607) 652-1200
Mailing address
PO BOX 494, WINDHAM, NY 12496-0494
(518) 734-5481
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
06669-1
NY
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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