Individual
MS. ANN ELIZABETH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
133 TELEGRAPH RD, PERU, NY 12972-4113
(518) 643-9091
Mailing address
133 TELEGRAPH RD, PERU, NY 12972-4113
(518) 643-9091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012146
NY
252Y00000X
Early Intervention Provider Agency
012146
NY
Other
Enumeration date
10/11/2011
Last updated
01/29/2020
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