Individual
BRANDEN WARDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7425 GRAND AVE, ELMHURST, NY 11373-4126
(718) 478-8400
Mailing address
PO BOX 4085, SUNNYSIDE, NY 11104-0085
(347) 845-5203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050076
NY
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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