Individual
MRS. WENDY RAE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
183 WEBSTER ST, MALONE, NY 12953-2226
(518) 483-7802
Mailing address
658 STATE ROUTE 11, P.O. BOX 285, MOIRA, NY 12957-2106
(518) 529-4048
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
026875
NY
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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