Individual
CARRIE ANN ENGBLOM VIII
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
131 JERICHO TPKE, MINEOLA, NY 11501-1800
(516) 746-2727
Mailing address
183 MARILYNN ST, EAST ISLIP, NY 11730-3311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015000
NY
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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