Individual
MS. JUNE ANN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
25 CEDAR VALLEY LN, HUNTINGTON, NY 11743-1803
(631) 470-0480
Mailing address
25 CEDAR VALLEY LN, HUNTINGTON, NY 11743-1803
(631) 470-0480
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
007951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007951
—
NY
Enumeration date
11/23/2011
Last updated
11/23/2011
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