ALTON JOLYON BRISPORT

ALBANY, NY
NPI1790794733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: NY  004751-1/1021100057)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- ALTON JOLYON BRISPORT
113 HOLLAND AVE
ALBANY, NY 12208-3410
Phone number: 518-626-5803
Mailing Address
-- ALTON JOLYON BRISPORT
150 MANCHESTER RD
SCHENECTADY, NY 12304-3903
Phone number: 518-372-4903
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