Individual
MRS. ROWENA VERA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20 GRAND AVE, SHIRLEY, NY 11967-2003
(631) 281-1890
Mailing address
7604 15TH AVE APT 3, BROOKLYN, NY 11228-2539
(917) 445-7787
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
028016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028016
PT LICENSE NUMBER
NY
01
—
3814
SSN LAST FOUR
NY
Enumeration date
04/26/2007
Last updated
09/25/2014
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