Individual
MRS. COLLEEN M FENNELL-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
Mailing address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005890-1
NY
Other
Enumeration date
09/22/2006
Last updated
11/04/2016
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