Individual
DEANNA BURGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
Mailing address
12 OLD DAHLIA RD, LIVINGSTON MANOR, NY 12758-8843
(845) 796-1359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P90540
NY
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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