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Individual

JANE C REDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA, GCFP, EMT

Contact information

Practice address
2-8 W MAIN ST, JOHNSTOWN, NY 12095-2308
(518) 762-8215
(518) 762-2972
Mailing address
2-8 W MAIN ST, JOHNSTOWN, NY 12095-2308
(518) 762-8215
(518) 762-2972

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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