Individual
EVELINE GERMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8912 VANDERVEER ST, QUEENS VILLAGE, NY 11427-2412
(718) 740-4161
Mailing address
8912 VANDERVEER ST, QUEENS VILLAGE, NY 11427-2412
(718) 740-4161
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001965-1
NY
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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