Individual
BRIANNA NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 798-9605
Mailing address
21 FULTON ST, MASSAPEQUA PARK, NY 11762-2401
(516) 729-9366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013997
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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