Individual
LISA BADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 POPLAR AVE, PINE PLAINS, NY 12567-5531
(518) 398-5643
Mailing address
50 POPLAR AVE, PINE PLAINS, NY 12567-5531
(518) 398-5643
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002088-1
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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