Marievic Balaag Ebora Fernando PT, DPT

NPI 1629236278 - Physical Therapist - 225100000X

NPI Details
NPI 1629236278
Gender Female
Enumeration Date 05/30/2008
Last Updated 02/04/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
6815 SELFRIDGE ST
2H
FOREST HILLS NY, 11375-5747, US
Phone (347) 777-9707
Fax (347) 777-9707
Business Location
6815 SELFRIDGE ST
2H
FOREST HILLS NY, 11375-5747, US
Phone (347) 777-9707
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 030067
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According to our database, Ms. Marievic Balaag Ebora Fernando PT, DPT NPI is 1629236278, taxonomy code is 225100000X and license number is 030067, license state is located at New York. Marievic Balaag Ebora Fernando PT, DPT physically located at 6815 Selfridge St, Forest Hills NY, 11375-5747. NPI Number Marievic Balaag Ebora Fernando PT, DPT has the Individual type.

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1629236278 NPI number is provided on an as is basis without warranty of any kind. 1629236278 is maintained by the National Plan & Provider Enumeration System. The contents of Marievic Balaag Ebora Fernando PT, DPT are for informational purposes only.