Individual
MS. TRACY A DULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9742 COOMBS RD, HOLLAND PATENT, NY 13354-4108
(315) 793-8528
Mailing address
9742 COOMBS RD, HOLLAND PATENT, NY 13354
(315) 793-8528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003700-1
NY
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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