Individual
BAS SHEVA BEN-JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
46 GRANDVIEW AVE, SPRING VALLEY, NY 10977-1321
(845) 356-0191
Mailing address
81 KEARSING PKWY APT B, MONSEY, NY 10952-7235
(347) 785-0327
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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