ANDREA LORENE IDE

NEWARK, NY
NPI1255978540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  024986-1)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
Mrs. ANDREA LORENE IDE PT
1200 DRIVING PARK AVE
NEWARK, NY 14513-1090
Phone number: 315-332-2289
Mailing Address
Mrs. ANDREA LORENE IDE PT
PO BOX 111
NEWARK, NY 14513-0111
Phone number: 315-332-2289
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