KIMBERLY T BASCOM

QUEENSBURY, NY
NPI1821305194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  005165)
Enumeration Date2010-09-08
Last Update Date2010-09-08
Business Address
KIMBERLY T BASCOM PTA
429 AVIATION RD
QUEENSBURY, NY 12804-2914
Phone number: 518-824-1600
Mailing Address
KIMBERLY T BASCOM PTA
14 FACTORY ST
GRANVILLE, NY 12832-1312
Phone number: 518-361-9753
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