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Individual

CIERRA DOROTHY WOLFGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1312 MIDDLE COUNTRY RD, SELDEN, NY 11784-2514
(631) 732-0700
Mailing address
3953 STATE HIGHWAY 30, ESPERANCE, NY 12066-2865

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
055662
NY

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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