Individual
DARLENE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1603
(607) 240-4827
Mailing address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1603
(607) 240-4827
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005665-1
NY
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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