Individual
CHANDLER PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 GRANDVIEW DR, COBLESKILL, NY 12043-5144
(518) 254-3261
Mailing address
178 GRANDVIEW DR, COBLESKILL, NY 12043-5144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010531
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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