Individual
MS. DOVIE BANCE CASIBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1752 PARK AVENUE, NEW YORK, NY 10035
(646) 686-0000
Mailing address
140 MOLLY PITCHER WAY, DEPTFORD, NJ 08096-6868
(856) 693-7747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006858-01
NY
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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