Individual
KHANITTHA KULDRAREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 267-4263
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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