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Individual

ALLIE ELIZABETH WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
187 PARK ST, MALONE, NY 12953-1233
(518) 481-2440
(518) 481-2617
Mailing address
187 PARK ST, MALONE, NY 12953-1233
(518) 481-2440
(518) 481-2617

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
044591-01
NY

Other

Enumeration date
12/02/2019
Last updated
12/02/2019
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