Individual
MARIA CONNIE GRACE PABATAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1012 HOLLYWOOD AVE # 2, BRONX, NY 10465-2160
(646) 436-4077
Mailing address
1012 HOLLYWOOD AVE # 2, BRONX, NY 10465-2160
(646) 436-4077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007274
NY
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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