Individual
MARY BUSSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020-6236
(518) 587-0723
(518) 583-9607
Mailing address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020-6236
(518) 587-0723
(518) 583-9607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003872-1
NY
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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