Individual
ANN MARIE PRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 WERNER RD, CLIFTON PARK, NY 12065-3409
(518) 664-5066
Mailing address
12 ALPINE DR, LATHAM, NY 12110-1727
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
008597-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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