Individual
MRS. AMY SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
554 FORT WASHINGTON AVE, NEW YORK, NY 10033-2003
(212) 740-5157
(212) 740-3566
Mailing address
2860 ROEBLING AVE, BRONX, NY 10461-5406
(718) 597-9411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0038231
NY
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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