Individual
MS. JOY MCTIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16015 POWELLS COVE BLVD APT C7, BEECHHURST, NY 11357-1305
(347) 638-9792
Mailing address
16015 POWELLS COVE BLVD APT C7, BEECHHURST, NY 11357-1305
(347) 638-9792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012613-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YM16440G
—
NY
Enumeration date
07/13/2021
Last updated
07/13/2021
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