MR. Edward Wormold, PTA
NPI #1316917560 in Southampton, New York
Provider Information
- NPI Number
- 1316917560
- Entity Type
- Individual
- Name
- MR. Edward Wormold, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 167 MAIN ST
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-4823
- Phone
- (631) 283-4190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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