Individual
MRS. THERESA ANN DI FORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 FERN PL, PLAINVIEW, NY 11803-4725
(516) 933-4700
Mailing address
1586 JAMES RD, WANTAGH, NY 11793-3147
(516) 804-8134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002756-1
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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