Individual
ANN MARIE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
79 REGAN DR, OSWEGO, NY 13126-5602
(315) 532-5936
Mailing address
79 REGAN DR, OSWEGO, NY 13126-5602
(315) 532-5936
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
001511-1
NY
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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