Individual
CORI M WASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
747 MADISON AVE, SUITE 1, ALBANY, NY 12208-3385
(518) 443-2279
(518) 443-7246
Mailing address
747 MADISON AVE, STE 1, ALBANY, NY 12208-3392
(518) 489-2524
(518) 489-3617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030881
NY
225100000X
Physical Therapist
030881-1
NY
Other
Enumeration date
11/26/2008
Last updated
12/13/2016
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