Individual
MRS. MALIKA JOHANNA DREXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 STATE ST, SCHENECTADY, NY 12305-2401
(518) 382-3290
(518) 382-8001
Mailing address
501 STATE ST, SCHENECTADY, NY 12305-2401
(518) 382-3290
(518) 382-8001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005293-1
NY
225200000X
Physical Therapy Assistant
1017
SC
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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