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1275177735
CHARLOTTE IDA BROLSMA
NEW YORK, NY
NPI
1275177735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044923)
Enumeration Date
2019-10-28
Last Update Date
2024-04-16
Business Address
CHARLOTTE IDA BROLSMA
200 E 16TH ST APT 6D
NEW YORK, NY 10003-3709
Phone number: 646-785-0853
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Mailing Address
CHARLOTTE IDA BROLSMA
200 E 16TH ST APT 6D
NEW YORK, NY 10003-3709
Phone number: 646-785-0853
Copy
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