Individual
MS. MELISSA ANN BAMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
61 CROWN ST, KINGSTON, NY 12401-3833
(845) 853-4074
Mailing address
61 CROWN ST, KINGSTON, NY 12401-3833
(845) 853-4074
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
020577-1
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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