Individual
CLAUDIA DITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2465 BROADWAY, BOTTOM LEVEL, NEW YORK, NY 10025-7486
(212) 877-2525
(212) 877-5767
Mailing address
196 ST NICHOLAS AVE APT 4, BROOKLYN, NY 11237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006185-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006185-1
PTA LICENSE
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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