Individual
MRS. LORI LEE BUMPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
27 SCHOOL ST, MAYFIELD, NY 12117-3452
(518) 661-8200
Mailing address
27 SCHOOL ST, MAYFIELD, NY 12117-3452
(518) 661-8200
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
012556-1
NY
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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