Individual
MRS. BRENDA LEE GELFUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3089 KING ROAD, SAUQUOIT, NY 13456
(315) 796-3774
Mailing address
3089 KING ROAD, SAUQUOIT, NY 13456
(315) 796-3774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006105-1
NY
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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