Individual
MRS. LAURA W TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 775-5357
Mailing address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 775-5357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66 004452
NY
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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