Individual
ANNIE NEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, WCS
Contact information
Practice address
95 HORSEBLOCK RD UNIT 6A, YAPHANK, NY 11980-2301
(475) 282-8930
Mailing address
23 TEXACO AVE APT 303, PORT JEFFERSON, NY 11777-2243
(320) 420-2956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036466
NY
225100000X
Physical Therapist
10997
MN
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/19/2014
Last updated
05/14/2025
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