MS. Heather Marie Desmond, PTA
NPI #1629388491 in St Johnsville, New York
Provider Information
- NPI Number
- 1629388491
- Entity Type
- Individual
- Name
- MS. Heather Marie Desmond, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 14, 2010
- Last Updated
- Apr 8, 2016
Practice Location
- Address
- 405 COUNTY HIGHWAY 114
- City
- St Johnsville
- State
- New York
- ZIP Code
- 13452-2307
- Phone
- (518) 568-3102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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