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Individual

MRS. ANITA OH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1615 NORTHERN BLVD STE 202, MANHASSET, NY 11030-3033
(516) 365-3455
Mailing address
4207 212TH ST FL 1, BAYSIDE, NY 11361-2838
(646) 483-1492

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62 029501
NY

Other

Enumeration date
01/21/2017
Last updated
01/21/2017
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