Individual
MS. HEATHER MARIE DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
405 COUNTY HIGHWAY 114, ST JOHNSVILLE, NY 13452-2307
(518) 568-3102
Mailing address
405 COUNTY HIGHWAY 114, ST JOHNSVILLE, NY 13452-2307
(518) 568-7963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004438-1
NY
Other
Enumeration date
10/14/2010
Last updated
04/08/2016
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