Individual
JENNIFER SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2904 BRUCKNER BLVD, BRONX, NY 10465-2101
(347) 582-2534
Mailing address
2904 BRUCKNER BLVD, BRONX, NY 10465-2101
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
025318
NY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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