Individual
JANE C REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, GCFP, EMT
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
377948
NY
222Q00000X
Developmental Therapist
000742-1
NY
225200000X
Physical Therapy Assistant
Primary
000742-1
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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