Individual
CHLOE ELIZABETH SOEWIGNJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 GRAND AVE, ELMHURST, NY 11373-4131
(347) 445-8136
Mailing address
8008 GRAND AVE, ELMHURST, NY 11373-4131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052884
NY
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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