Individual
COMFORT MODUPE UWADIAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
30 EVERIT AVE, HEWLETT, NY 11557-1303
(347) 731-9836
Mailing address
30 EVERIT AVE, HEWLETT, NY 11557-1303
(347) 731-9836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035763-01
NY
Other
Enumeration date
04/08/2024
Last updated
12/05/2024
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