ALEXANDER JOHN KETTERER

RONKONKOMA, NY
NPI1205791837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  049776)
Enumeration Date2025-12-16
Last Update Date2025-12-16
Business Address
ALEXANDER JOHN KETTERER
2380 JULIA GOLDBACH AVE
RONKONKOMA, NY 11779-6317
Phone number: 631-438-7444
Mailing Address
ALEXANDER JOHN KETTERER
2380 JULIA GOLDBACH AVE
RONKONKOMA, NY 11779-6317
Phone number: 631-438-7444