Individual
MS. SUSAN REGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3319 AVENUE N, BROOKLYN, NY 11234
(718) 258-3300
(718) 258-3301
Mailing address
3319 AVENUE N, BROOKLYN, NY 11234
(718) 258-3300
(718) 258-3301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008713
NY
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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