Individual
ALISSA MARIAH LADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4065
Mailing address
700 W 172ND ST APT 3F, NEW YORK, NY 10032-1740
(651) 230-7992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044383
NY
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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