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Individual

LISA WHYTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT ASSISTANT

Contact information

Practice address
346 COUNTY ROUTE 52, CHATEAUGAY, NY 12920-3402
(518) 497-0306
Mailing address
346 COUNTY ROUTE 52, CHATEAUGAY, NY 12920-3402
(518) 497-0306

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
312064
NY
225200000X
Physical Therapy Assistant
Primary
001992
NY

Other

Enumeration date
07/11/2012
Last updated
10/18/2012
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