Individual
MS. PROSPERA WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20001 42ND AVE, BAYSIDE, NY 11361-1872
(718) 224-0490
Mailing address
22120 64TH AVE, OAKLAND GARDENS, NY 11364-2325
(718) 819-0802
(718) 819-0802
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
019952
NY
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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