THEODERICK MITRA

NEW HYDE PARK, NY
NPI1306982053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  018279)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- THEODERICK MITRA P.T.
111 S 8TH ST
NEW HYDE PARK, NY 11040-4852
Phone number: 516-233-1846
Mailing Address
-- THEODERICK MITRA P.T.
111 S 8TH ST
NEW HYDE PARK, NY 11040-4852
Phone number: 516-233-1846
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PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC