Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 008075-1 | NY |
NPI | 1003100421 |
---|---|
Provider Name | Donna Lee Giffune |
First Address | Ballston Spa, NY 12020-2248 |
Second Address | Ballston Spa, NY 12020-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 01/12/2021 |