Individual
CAROLYN ELIZABETH BRANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(518) 926-2030
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4447
(518) 926-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314998
—
NY
Enumeration date
08/08/2019
Last updated
08/08/2019
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