Individual
MRS. ELLEN MAY ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
208 N KINGS AVE, MASSAPEQUA, NY 11758-3324
(516) 795-8464
Mailing address
208 N KINGS AVE, MASSAPEQUA, NY 11758-3324
(516) 795-8464
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
010801
NY
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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