Individual
ADAM KYLE ST GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 GLENMERE COVE RD, GOSHEN, NY 10924-6059
(845) 291-4740
Mailing address
PO BOX 14, WALLKILL, NY 12589-0014
(570) 460-8101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P117007
NY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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