Individual
CORALIE BOISROND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT.
Contact information
Practice address
45 PARK AVE, YONKERS, NY 10703-3401
(914) 376-4300
Mailing address
81 CEDAR ST, DOBBS FERRY, NY 10522-1611
(631) 334-5062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044295
NY
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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