Individual
MS. KATHLEEN HELEN SCHUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8522
(718) 281-8523
Mailing address
2 LAUREL LN, LEVITTOWN, NY 11756-3102
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
015660-1
NY
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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