Individual
THERESA HAKEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
223 BRADLEY AVE # 2, STATEN ISLAND, NY 10314-5166
(646) 543-2873
Mailing address
223 BRADLEY AVE # 2, STATEN ISLAND, NY 10314-5166
(646) 543-2873
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
036471
NY
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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