Organization
CARROLL ANN MENDONCA PT PC
Active
Organization
CARROLL ANN MENDONCA PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARROLL ANN MENDONCA PT (OWNER)
(718) 738-2236
Entity
Organization
Contact information
Practice address
12711 111TH AVE, SOUTH OZONE PARK, NY 11420-1604
(718) 738-2236
(718) 738-2195
Mailing address
12711 111TH AVE, SOUTH OZONE PARK, NY 11420-1604
(718) 738-2236
(718) 738-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022988
NY
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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