Individual
MS. JUDY MARILYN IWAOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
840 W END AVE APT 4F, NEW YORK, NY 10025-8474
(212) 666-1552
Mailing address
840 WEST END AVENUE #4F, NYC, NY 10025
(212) 666-1552
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
007871-1
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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