Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 014991 | NY |
NPI | 1013902535 |
---|---|
Provider Name | Mrs. Cynthia T Dean |
First Address | Saratoga Springs, NY 12866 |
Second Address | Saratoga Springs, NY 12866 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 08/07/2007 |