Individual
LIEZL GRACE A LONZAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 HARDING AVE, 2ND FLOOR, BRONX, NY 10465-3130
(646) 644-0342
Mailing address
2714 HARDING AVE, 2ND FLOOR, BRONX, NY 10465-3130
(646) 644-0342
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
023863
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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