Individual
TAMMY KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 ARROW WOOD PL, BALLSTON SPA, NY 12020-4706
(518) 879-6678
Mailing address
118 ARROW WOOD PL, BALLSTON SPA, NY 12020-4706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004963
NY
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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