Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Mar 22, 2017
License(s)
039721 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2151 SEIPSTOWN RD | Fogelsville, PA 18051-2022 | 646-389-1177 |
| MAILING | 7322 BAY PKWY APT B5 | Brooklyn, NY 11204-6035 | 917-808-5482 |
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