Individual
KATHRYN KLAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11915 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694-1970
(718) 634-3211
Mailing address
4 RUSSEK DR, STATEN ISLAND, NY 10312-1628
(646) 354-3483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012049
STATE LICENSE
NY
Enumeration date
09/13/2021
Last updated
09/13/2021
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