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Individual

GERILYNN CACCIABAUDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
168 IRVING AVE, SUITE 402A, PORT CHESTER, NY 10573-4144
(914) 939-3143
(914) 939-3120
Mailing address
324 RHINECLIFF RD, RHINEBECK, NY 12572-4001
(845) 876-7759

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015151
NY

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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