Individual
AHRA JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
271 MADISON AVE STE 1601, NEW YORK, NY 10016-1001
(212) 682-2750
(212) 682-6588
Mailing address
271 MADISON AVE STE 1601, NEW YORK, NY 10016-1001
(212) 682-2750
(212) 682-6588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038432
NY
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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