Individual
MARIE D OOSTERWIJK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
158 ROCKLYN AVE, LYNBROOK, NY 11563-3732
(516) 872-8085
Mailing address
158 ROCKLYN AVE, LYNBROOK, NY 11563-3732
(516) 872-8085
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011076-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01176-1
NY STATE PT LICENSE
NY
Enumeration date
01/23/2009
Last updated
01/23/2009
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