Individual
MRS. CAROLINE KONNOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
14809 NORTHERN BLVD, SUITE 1K, FLUSHING, NY 11354-4346
(718) 445-1006
Mailing address
8411 252ND ST, BELLEROSE, NY 11426-2118
(718) 347-1469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018592-1
NY
Other
Enumeration date
03/05/2006
Last updated
03/27/2008
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