Individual
MS. KATHLEEN ALICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
227 RIVERSIDE DR APT 1A, NEW YORK, NY 10025-6817
(212) 865-7401
Mailing address
227 RIVERSIDE DR APT 1A, NEW YORK, NY 10025-6817
(212) 865-7401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000303
NY
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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