Registry details
Type
Organization
Primary specialty
Physical Therapist
Enumerated
Jan 26, 2012
License(s)
025085 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10119 39TH AVE LOWER LEVEL | Corona, NY 11368-4806 | 347-669-3828 |
| LOCATION | 10119 39TH AVE LOWER LEVEL | Corona, NY 11368-4806 | 347-669-3828 |
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