Individual
MS. BRENDA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
260 MIDDLE COUNTRY RD, BLDG 3 SUITE 9-A, SELDEN, NY 11784-2568
(631) 732-1600
Mailing address
4526 48TH ST, APT 4B, WOODSIDE, NY 11377-5363
(347) 876-8849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
035602
NY
225100000X
Physical Therapist
Primary
40QA01429700
NJ
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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