Individual
LISA BREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1315 GATEWAY BLVD APT 2L, FAR ROCKAWAY, NY 11691-5245
(201) 925-8159
Mailing address
1315 GATEWAY BLVD APT 2L, FAR ROCKAWAY, NY 11691-5245
(201) 925-8159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010656-1
NY
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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