Individual
MS. MERCEDES LOURDES GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1887 BATHGATE AVE, BRONX, NY 10457-6216
(718) 466-3918
(718) 960-4395
Mailing address
1887 BATHGATE AVE, BRONX, NY 10457-6216
(718) 466-3918
(718) 960-4395
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007005
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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