Individual
ILDA IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
405 43RD ST, UNION CITY, NJ 07087-5047
(201) 617-0880
Mailing address
11201 QUEENS BLVD APT 14D, FOREST HILLS, NY 11375-5590
(718) 544-9532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00159600
NJ
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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