Individual
ANN F SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
29 CHURCH ST, LAKE PLACID, NY 12946-1805
(518) 523-8580
(518) 523-7889
Mailing address
29 CHURCH ST, LAKE PLACID, NY 12946-1805
(518) 523-8580
(518) 523-7889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17203
MA
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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