Individual
JACQUELINE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 BELMONT PKWY, HEMPSTEAD, NY 11550-6506
(516) 582-7714
Mailing address
206 BELMONT PKWY, HEMPSTEAD, NY 11550-6506
(516) 582-7714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005840
NY
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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