Individual
DR. JENNA KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6125 97TH ST APT 9L, REGO PARK, NY 11374-1235
(917) 749-8744
Mailing address
6125 97TH ST APT 9L, REGO PARK, NY 11374-1235
(917) 749-8744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
043194
NY
2251P0200X
Pediatric Physical Therapist
043194
NY
2251X0800X
Orthopedic Physical Therapist
Primary
043194
NY
Other
Enumeration date
09/24/2018
Last updated
05/20/2024
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