IndividualActive
Betty Ann Dubacher, PTA
NPI 1891275012 · Geriatric Physical Therapist · Petersburg, NY
Provider details
- NPI number
- 1891275012
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000864-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
43 Red Pond Rd
Petersburg, NY 12138-5916
Phone: (518) 687-4612
Approximate (ZIP-level) locationGet directions
Mailing address
43 Red Pond Rd
Petersburg, NY 12138-5916
Registry dates
- Enumerated
- 2018-08-16
- Last updated
- 2018-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.