Individual
DAJANA VIDOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8940 135TH ST, JAMAICA, NY 11418-2828
(315) 527-3259
Mailing address
53 SAINT NICHOLAS AVE APT 1E, NEW YORK, NY 10026-3426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045826-01
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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