Individual
MRS. CYNTHIA EAGLETON TYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
421 COLUMBIA ST, EDDY COHOES REHAB CENTER, COHOES, NY 12047-2217
(518) 238-4085
Mailing address
38 PROVIDENCE DR, WEST SAND LAKE, NY 12196-3021
(518) 286-0795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003089-1
NY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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