Individual
CHARMAINE MORCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2536 27TH ST, 1A, ASTORIA, NY 11102-2308
(347) 208-4511
Mailing address
2710 30TH AVE APT 5H, ASTORIA, NY 11102-2413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28547
NY
Other
Enumeration date
03/06/2009
Last updated
03/02/2023
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