Individual
ROSELAURE EUGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21 MARYLAND AVE, FREEPORT, NY 11520-2005
(516) 242-4954
(718) 782-5930
Mailing address
21 MARYLAND AVE, FREEPORT, NY 11520-2005
(516) 242-4954
(718) 782-5930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66002453
NY
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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