Individual
MS. CAROLYNN LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 WEBSTER AVE, SUITE 401, POUGHKEEPSIE, NY 12601-1361
(845) 454-8377
Mailing address
9 MORTON ST, POUGHKEEPSIE, NY 12601-1613
(845) 401-1181
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005089
NY
225200000X
Physical Therapy Assistant
9494
AZ
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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