Individual
MISS EDDA EVELYN LOMANTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8811 53RD AVE FL 3, ELMHURST, NY 11373-4517
(732) 318-0238
Mailing address
8811 53RD AVE FL 3, ELMHURST, NY 11373-4517
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
026888
NY
Other
Enumeration date
09/29/2010
Last updated
10/12/2010
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