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MR. GERHARD CONRAD ENDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
90 FEEDER DAM RD, SOUTH GLENS FALLS, NY 12803-5419
(518) 744-9829
(518) 792-8075
Mailing address
90 FEEDER DAM RD, SOUTH GLENS FALLS, NY 12803-5419
(518) 744-9829
(518) 792-8075

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002200-1
NY
225X00000X
Occupational Therapist
Primary
12983
FL

Other

Enumeration date
12/17/2007
Last updated
12/17/2007
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