Individual
MRS. CHUTIMA PHANPHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MA
Contact information
Practice address
509 COURT ST, BROOKLYN, NY 11231-3909
(929) 295-6566
(929) 295-6570
Mailing address
4141 46TH ST, SUNNYSIDE, NY 11104-1869
(347) 652-8218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042465
NY
Other
Enumeration date
11/15/2017
Last updated
02/09/2021
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