Individual
PAOLA RUTH BARTOLOME ABEJERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
12326 95TH AVE, JAMAICA, NY 11419-1424
(443) 596-7666
Mailing address
12326 95TH AVE, JAMAICA, NY 11419-1424
(443) 596-7666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047762
NY
225200000X
Physical Therapy Assistant
Primary
012265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
NY
Enumeration date
04/19/2021
Last updated
09/27/2021
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