Registry details
Type
Individual
Primary specialty
Physical Therapist, Pediatrics
Enumerated
Dec 21, 2012
License(s)
032839 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2525 HARING ST | Brooklyn, NY 11235-1655 | 718-769-6984 |
| MAILING | 30 BAY 17TH ST | Brooklyn, NY 11214-3706 |
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