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Individual

MRS. ALLELIE TEODORO AUSTRIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
236 5TH AVE, 4TH FLOOR, NEW YORK, NY 10001-7606
(347) 824-5028
Mailing address
9812 METROPOLITAN AVE, APT 2FT, FOREST HILLS, FOREST HILLS, NY 11375-6628
(347) 824-5028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030078
NY

Other

Enumeration date
12/07/2009
Last updated
09/28/2012
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