Individual
MISS XIOMARA HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2130 HARRISON AVE # 2, BRONX, NY 10453-3230
(347) 865-7988
Mailing address
2130 HARRISON AVE # 2, BRONX, NY 10453-3230
(347) 865-7988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0079090-1
NY
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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