Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Mar 8, 2012
License(s)
033800 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 113 1/2 E 62ND ST | New York, NY 10065-7301 | 347-840-3884 |
| MAILING | 113 1/2 E 62ND ST | New York, NY 10065-7301 | 347-840-3884 |
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