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Individual

MS. AIYSHA R GLENN-BRADBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CLT

Contact information

Practice address
163 NEW HYDE PARK RD, FRANKLIN SQUARE, NY 11010-3045
(516) 616-1111
(516) 616-1112
Mailing address
163 NEW HYDE PARK RD, FRANKLIN SQUARE, NY 11010-3045
(516) 616-1111
(516) 616-1112

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027729-1
LICENSE PT
NY
Enumeration date
03/02/2007
Last updated
06/29/2022
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