TAHEISHA JEAN

GREAT NECK, NY
NPI1134606494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  043190)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2018-07-19
Last Update Date2020-08-07
Business Address
TAHEISHA JEAN DPT
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
Mailing Address
TAHEISHA JEAN DPT
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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