Individual
MS. AUDREY MARIE DORIMAN GRAVADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
142-04 BAYSIDE AVENUE, SUITE 8L, FLUSHING, NY 11354
(718) 445-6477
(718) 445-6933
Mailing address
14204 BAYSIDE AVE STE 8L, FLUSHING, NY 11354-2300
(718) 445-6477
(718) 445-6933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04971601
NY
Other
Enumeration date
03/27/2024
Last updated
02/07/2025
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