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1174969018
TRACY LAWALL
BROOKLYN, NY
NPI
1174969018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 62035378)
Enumeration Date
2013-05-19
Last Update Date
2013-05-19
Business Address
-- TRACY LAWALL DPT
104 CONSELYEA ST
BROOKLYN, NY 11211-2302
Phone number: 267-304-4935
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Mailing Address
-- TRACY LAWALL DPT
104 CONSELYEA ST
BROOKLYN, NY 11211-2302
Phone number:
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