Individual
MRS. FARA DESFOR LE BRETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSC, MACP
Contact information
Practice address
30 W 57TH ST, 6TH FLOOR, NEW YORK, NY 10019-3916
(212) 317-9798
Mailing address
119 W 71ST ST, #5A, NEW YORK, NY 10023-3876
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
016820-1
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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