Individual
ANNALYN BANTUGAN VILARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLWT, GCS
Contact information
Practice address
45 MONTCALM ST, TICONDEROGA, NY 12883-1343
(518) 585-6230
Mailing address
10 MOUNT HOPE AVE, TICONDEROGA, NY 12883-1109
(518) 586-0981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038826
NY
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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