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MICHAELA VILLANUEVA CONCEPCION

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1700751492
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
110 MADISON AVE, NEW YORK, NY, 100167414
Phone
(551) 208-8140

Specialties & Taxonomies

Physical Therapy Assistant Primary License: NY #012436-01

All Addresses

MAILING

213 VIRGINIA AVE

JERSEY CITY, NJ, 073041423

(551) 208-8140

LOCATION

110 MADISON AVE

NEW YORK, NY, 100167414

(551) 208-8140