Individual
JOANNA N/A WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
262 OAKWOOD RD, OAKDALE, NY 11769-1316
(631) 258-3836
Mailing address
262 OAKWOOD RD, OAKDALE, NY 11769-1316
(631) 258-3836
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NY
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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