Individual
MISS PORTIA LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163-03 HORACE HARDING EXP 2/F, FRESH MEADOWS, NY 11365
(718) 353-0530
Mailing address
163-03 HORACE HARDING EXP 2/F, FRESH MEADOWS, NY 11365
(718) 353-0530
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
015505
NY
Other
Enumeration date
05/14/2007
Last updated
06/17/2015
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