Individual
MISS KATHLEEN DENISE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
926 E 55TH ST, BROOKLYN, NY 11234-1708
(917) 406-8547
Mailing address
926 E 55TH ST, BROOKLYN, NY 11234-1708
(917) 406-8547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002394
NY
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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