Individual
CHARMAINE IRISH LONGAKIT JUARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1345 AVENUE OF THE AMERICAS, 11TH FLOOR, NEW YORK, NY 10105
(212) 981-1977
(646) 786-4026
Mailing address
24 SUNNYSIDE DR, SPRINGFIELD, IL 62702
(217) 610-0058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
041321
NY
225100000X
Physical Therapist
Primary
070023561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
07/15/2022
Last updated
07/15/2022
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