DANA LORRAINE PROVOST

SCHENECTADY, NY
NPI1902464167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  040652)
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
DANA LORRAINE PROVOST PT
1270 BELMONT AVE
SCHENECTADY, NY 12308-2104
Phone number: 518-382-4500
Mailing Address
DANA LORRAINE PROVOST PT
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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