Individual
CASEY CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 LAUREL AVE, CORNWALL, NY 12518-1403
(845) 458-4267
Mailing address
19 LAUREL AVE, CORNWALL, NY 12518-1403
(845) 458-4267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035220-1
NY
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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