Individual
HEATHER CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 ADIRONDACK DR STE 1, TICONDEROGA, NY 12883-9334
(518) 585-3810
(518) 585-3822
Mailing address
101 ADIRONDACK DR STE 1, TICONDEROGA, NY 12883-9334
(518) 585-3810
(518) 585-3822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004905-01
NY
225200000X
Physical Therapy Assistant
004905-1
NY
Other
Enumeration date
10/06/2014
Last updated
08/25/2023
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