Individual
TERESA FUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ELM PL, GLEN HEAD, NY 11545-1552
(516) 428-7449
Mailing address
4 ELM PL, GLEN HEAD, NY 11545-1552
(516) 428-7449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10500
CA
225200000X
Physical Therapy Assistant
2101550
TX
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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