Organization
MARLENE BRADNOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE A BRADNOCK PTA (PHYSICAL THERAPIST ASSISTANT)
(347) 357-7881
Entity
Organization
Contact information
Practice address
178-18 120 AVE, JAMAICA, NY 11434
(347) 357-7881
Mailing address
17818 120TH AVE, JAMAICA, NY 11434-2716
(347) 357-7881
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
002442
NY
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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