Individual
MRS. KATHLEEN ANN GHIZZONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14 IDA LN, SCHENECTADY, NY 12303-4992
(518) 356-8060
(518) 357-2764
Mailing address
14 IDA LN, SCHENECTADY, NY 12303-4992
(518) 356-8060
(518) 357-2764
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
009268-1
NY
252Y00000X
Early Intervention Provider Agency
009268-1
NY
Other
Enumeration date
10/31/2008
Last updated
06/11/2012
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