Individual
KELLY MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 NEW UTRECHT AVE, BROOKLYN, NY 11219-1831
(718) 686-9600
Mailing address
1249 PACIFIC ST APT 1F, BROOKLYN, NY 11216-3009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011348
NY
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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