Individual
ASSITA DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
303 W 117TH ST APT 2C, NEW YORK, NY 10026-1542
(646) 626-3836
Mailing address
307 W 117TH ST # 2C, NEW YORK, NY 10026-1541
(646) 626-3836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049847
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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