Individual
HOLLY ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
345 W VALLEY STREAM BLVD, VALLEY STREAM, NY 11580-5313
(347) 403-2100
Mailing address
345 W VALLEY STREAM BLVD, VALLEY STREAM, NY 11580-5313
(347) 403-2100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1107780
NY
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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