Individual
CHANTAL PREDVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 MILBURN AVE, BALDWIN, NY 11510-4115
(917) 499-8496
Mailing address
2703 MILBURN AVE, BALDWIN, NY 11510-4115
(917) 499-8496
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006939-01
NY
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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