Individual
HALLIE REBECCA STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
74 STUYVESANT AVE, LARCHMONT, NY 10538-2730
(914) 646-7908
Mailing address
74 STUYVESANT AVE, LARCHMONT, NY 10538-2730
(914) 646-7908
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
022091-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
0220911
NY
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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