Individual
MISS COLLEEN MARIE HENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2455 UNION BLVD APT 1A, ISLIP, NY 11751-3146
(516) 362-7472
Mailing address
2455 UNION BLVD APT 1A, ISLIP, NY 11751-3146
(516) 362-7472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005478-1
NY
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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