Individual
KATHLEEN HENTSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1275 STATE ROUTE 42, SPARROW BUSH, NY 12780-5015
(845) 858-4626
Mailing address
1275 STATE ROUTE 42, SPARROW BUSH, NY 12780-5015
(845) 858-4626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00226700
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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