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Individual

CHRYSENE THIELE PANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13052 146TH ST, JAMAICA, NY 11436-2307
(929) 486-8982
Mailing address
13052 146TH ST, JAMAICA, NY 11436-2307
(929) 486-8982

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051423-01
NY
225200000X
Physical Therapy Assistant
012128-01
NY

Other

Enumeration date
10/09/2023
Last updated
01/28/2024
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