Individual
MILLICENT ADDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1851
(718) 604-5283
Mailing address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1851
(718) 604-5283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005080-1
NY
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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