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1316213523
THERESA CAROLINE DEVEREAUX
BAYSIDE, NY
NPI
1316213523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 006351-1)
Enumeration Date
2012-04-02
Last Update Date
2012-04-02
Business Address
Ms. THERESA CAROLINE DEVEREAUX P.T.
22121 CORBETT RD
BAYSIDE, NY 11361-2242
Phone number: 718-225-8667
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Mailing Address
Ms. THERESA CAROLINE DEVEREAUX P.T.
22121 CORBETT RD
BAYSIDE, NY 11361-2242
Phone number: 718-225-8667
Copy
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