Individual
UTA ISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 NORTH ST STE 101, WHITE PLAINS, NY 10605-2232
(914) 269-2172
Mailing address
311 NORTH ST STE 101, WHITE PLAINS, NY 10605-2232
(914) 269-2172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013363
NY
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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