Individual
CHARLOTTE ELIZABETH KITTILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17900 LINDEN BLVD, JAMAICA, NY 11425-0001
(718) 298-8349
Mailing address
66 E 83RD ST, APT. 5C, NEW YORK, NY 10028-0882
(718) 298-8349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002081-1
NY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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