CHRYSENE THIELE PANDE

JAMAICA, NY
NPI1043091911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  051423-01)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: NY  012128-01)
Enumeration Date2023-10-09
Last Update Date2024-01-28
Business Address
CHRYSENE THIELE PANDE
13052 146TH ST
JAMAICA, NY 11436-2307
Phone number: 929-486-8982
Mailing Address
CHRYSENE THIELE PANDE
13052 146TH ST
JAMAICA, NY 11436-2307
Phone number: 929-486-8982