Individual
ADELAIDA MIJOS LAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2100 BARTOW AVE, SUITE 227, BRONX, NY 10475-4614
(718) 320-9380
(718) 320-9380
Mailing address
4330 JUDGE ST, 2ND FLOOR, ELMHURST, NY 11373-3458
(646) 897-6451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031067
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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