Individual
MRS. DALE EVON HULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
81 NORTH MAIN ST., MAYFIELD, NY 12117
(518) 661-5352
Mailing address
167 NORTHWOODS CLUB RD, MINERVA, NY 12851-2046
(518) 251-4324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004887-1
NY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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