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1104466465
AMANDA ALFONSO
WOODSIDE, NY
NPI
1104466465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045282)
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
AMANDA ALFONSO PT, DPT, ATC
42-77 65TH PLACE
WOODSIDE, NY 11377
Phone number:
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Mailing Address
AMANDA ALFONSO PT, DPT, ATC
671 JOHN STREET
TEANECK, NJ 07666
Phone number: 201-887-3395
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