Individual
ALYSSA MAE BARREDA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 48TH AVE, WOODSIDE, NY 11377-6241
(929) 522-0929
Mailing address
5123 QUEENS BLVD APT 4C, WOODSIDE, NY 11377-4588
(917) 912-7535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013994-01
NY
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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