Individual
MS. CAROL JEAN HIRTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41 CONKLIN ST, DEER PARK, NY 11729-3321
(631) 739-3491
Mailing address
41 CONKLIN ST, DEER PARK, NY 11729-3321
(631) 739-3491
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003032-1
NY
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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