Individual
MRS. ADEENA R. WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1416 GRANADA PL, FAR ROCKAWAY, NY 11691-1708
(718) 868-1070
Mailing address
1416 GRANADA PL, FAR ROCKAWAY, NY 11691-1708
(718) 868-1070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014520
NY
2251P0200X
Pediatric Physical Therapist
Primary
014520
NY
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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