Individual
MS. CORY MARIE DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2075
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314998
—
NY
Enumeration date
01/12/2017
Last updated
01/12/2017
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