Individual
BETH S WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0935
(518) 233-0703
Mailing address
114 MEYER RD, CLIFTON PARK, NY 12065-1408
(518) 409-0544
(518) 233-0703
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014678-1
NY
Other
Enumeration date
10/21/2008
Last updated
03/31/2015
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