Individual
JOLVEEN MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 5TH AVE, NEW YORK, NY 10017-3620
(718) 984-1900
Mailing address
2209 FITNESS CLUB WAY APT 101, TAMPA, FL 33612-5135
(813) 573-6659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014292
NY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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