Individual
MA TAWNY ALEGRIA MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 BROADWAY, NEW YORK, NY 10040-4014
(646) 779-8265
Mailing address
8330 VIETOR AVE APT 722, ELMHURST, NY 11373-3269
(929) 366-9818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012885
NY
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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