Individual
MICHELLE ANGELLI BAGUIO VALIENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
110-45 QUEENS BLVD., SUITE 105, FOREST HILLS, NY 11375-5519
(646) 578-6655
Mailing address
110-45 QUEENS BLVD., SUITE 105, FOREST HILLS, NY 11375-5519
(646) 578-6655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010746
NY
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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