Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 18, 2011
License(s)
031848 (NY), 031848 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3050 FAIRFIELD AVE APT 7L | Bronx, NY 10463-3349 | 917-705-3866 |
| LOCATION | 3050 FAIRFIELD AVE APT 7L | Bronx, NY 10463-3349 | 917-705-3866 |
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