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1841937505
MARK ANTHONY RETZLAFF
LAKE KATRINE, NY
NPI
1841937505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 001145)
Enumeration Date
2022-05-15
Last Update Date
2022-05-15
Business Address
MARK ANTHONY RETZLAFF PTA
300 GRANT AVE
LAKE KATRINE, NY 12449-5340
Phone number: 845-336-3500
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Mailing Address
MARK ANTHONY RETZLAFF PTA
24 MONTGOMERY ST
COHOES, NY 12047-3910
Phone number: 518-605-0100
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