Individual
KA HO HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13633 37TH AVE STE 1B, FLUSHING, NY 11354-4562
(718) 961-9800
Mailing address
8604 63RD DR APT 3, REGO PARK, NY 11374-4854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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