Individual
MRS. LADYBIRD MANANGAN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
60 LEE AVE, YONKERS, NY 10705-4724
(845) 300-2785
Mailing address
508 N IMPERIAL AVE APT B, ONTARIO, CA 91764-4089
(845) 300-2785
(347) 810-9743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017803
NY
2251P0200X
Pediatric Physical Therapist
Primary
017803
NY
Other
Enumeration date
08/17/2010
Last updated
01/16/2022
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