Individual
DARAPA DONNA SUKBOONLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7610 34TH AVE, APT 5R, JACKSON HEIGHTS, NY 11372-2270
(718) 507-0554
Mailing address
7610 34TH AVE, APT 5R, JACKSON HEIGHTS, NY 11372-2270
(718) 507-0554
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
025805-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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