Individual
MARIE A GUILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4109
(631) 376-3618
Mailing address
80 MIRAMAR BLVD, LINDENHURST, NY 11757-6416
(631) 957-5998
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
18555
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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