Individual
BRETT WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 MAIN ST, CORNWALL, NY 12518-1530
(845) 534-1200
Mailing address
154 OLD STATE RD, HIGHLAND FALLS, NY 10928-4303
(845) 325-9826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0260001
NY
225100000X
Physical Therapist
Primary
026000
NY
Other
Enumeration date
10/24/2006
Last updated
11/19/2010
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