Individual
CHARLOTTE IDA BROLSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E 16TH ST APT 6D, NEW YORK, NY 10003-3709
(646) 785-0853
Mailing address
200 E 16TH ST APT 6D, NEW YORK, NY 10003-3709
(646) 785-0853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044923
NY
Other
Enumeration date
10/28/2019
Last updated
04/16/2024
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