THEDA LUMAGOD SHISHKIN

BRONX, NY
NPI1861896722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  032313)
Enumeration Date2014-10-21
Last Update Date2016-11-29
Business Address
-- THEDA LUMAGOD SHISHKIN PT
817 E 180TH ST
BRONX, NY 10460-1305
Phone number: 718-220-6262
Mailing Address
-- THEDA LUMAGOD SHISHKIN PT
7945 GRAND AVE
ELMHURST, NY 11373-4129
Phone number: 347-320-0155
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