Individual
DR. MICHELLE RENE' DOLPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1020 VESTAL PKWY E, VESTAL, NY 13850-1748
(607) 786-3026
Mailing address
12 MILLARD AVE, BINGHAMTON, NY 13905-4347
(607) 724-4672
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
017461-1
NY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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