Individual
JORDANNA LYNN PESSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1428 5TH AVE, BAY SHORE, NY 11706-4147
(631) 665-1900
Mailing address
1428 5TH AVE, BAY SHORE, NY 11706-4147
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
034522-1
NY
Other
Enumeration date
11/20/2011
Last updated
07/30/2024
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