Individual
LINDA ELLEN MIHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
223 JACKSON ST, OCEANSIDE, NY 11572-1619
(516) 594-0078
Mailing address
223 JACKSON ST, OCEANSIDE, NY 11572-1619
(516) 594-0078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
822-1
NY
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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