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1992055891
ELIZABETH CREVOISERAT
QUEENSBURY, NY
NPI
1992055891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- ELIZABETH CREVOISERAT PTA
133 AVIATION RD
QUEENSBURY, NY 12804-8206
Phone number: 518-798-0170
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Mailing Address
-- ELIZABETH CREVOISERAT PTA
133 AVIATION ROAD
QUEENSBURY, NY 12804-8206
Phone number: 518-798-0170
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