Individual
CHRISTINE CARMILLE LUCERO ESPIRITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6370 WOODHAVEN BLVD, REGO PARK, NY 11374-2992
(718) 456-2545
Mailing address
9950 63RD AVE APT 3, REGO PARK, NY 11374-1948
(385) 477-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045752
NY
Other
Enumeration date
10/22/2021
Last updated
08/10/2024
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