Jacqueline M Endres, P.T.A.

NPI #1053493668 in Albany, New York

Provider Information

NPI Number: 1053493668
Entity Type: Individual
Name: Jacqueline M Endres, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Oct 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 315 S MANNING BLVD
City: Albany
State: New York
ZIP Code: 12208-1707
Phone: (518) 525-1431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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