Individual
AUDREY OLIVIA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
9745 QUEENS BLVD, SUITE 900, REGO PARK, NY 11374-2116
(718) 830-9274
Mailing address
11905 189TH ST, SAINT ALBANS, NY 11412-3638
(917) 674-7454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028731
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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