REGINE LESLY SOUVERAIN

WHITESTONE, NY
NPI1881947950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  028676-1)
Enumeration Date2012-10-26
Last Update Date2012-10-26
Business Address
-- REGINE LESLY SOUVERAIN PT
15050 14TH RD
WHITESTONE, NY 11357-2609
Phone number: 718-767-0091
Mailing Address
-- REGINE LESLY SOUVERAIN PT
10053 222ND ST
QUEENS VILLAGE, NY 11429-1678
Phone number: 917-805-9233
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