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Individual

MRS. MARY ELLEN KEBART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2920 5TH AVE, ENLARGED CITY SCHOOL DISTRICT OF TROY, TROY, NY 12180-1246
(518) 328-5006
(518) 271-5261
Mailing address
2920 5TH AVE, ENLARGED CITY SCHOOL DISTRICT OF TROY, TROY, NY 12180-1246
(518) 328-5006
(518) 271-5261

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0110601
NY

Other

Enumeration date
08/15/2011
Last updated
08/15/2011
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