Marlene A. Champagne PTA

NPI 1659562080 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1659562080
Gender Female
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4802 10TH AVE
BROOKLYN NY, 11219-2916, US
Phone (718) 283-7498
Business Location
15007 108TH AVE
JAMAICA NY, 11433-1909, US
Phone (718) 291-4203
Taxonomy Code 225200000X
License State New York
License Number 011775
Remove 1659562080 NPI Number

According to our database, Ms. Marlene A. Champagne PTA NPI is 1659562080, taxonomy code is 225200000X and license number is 011775, license state is located at New York. Marlene A. Champagne PTA physically located at 4802 10th Ave, Brooklyn NY, 11219-2916. NPI Number Marlene A. Champagne PTA has the Individual type.

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1659562080 NPI number is provided on an as is basis without warranty of any kind. 1659562080 is maintained by the National Plan & Provider Enumeration System. The contents of Marlene A. Champagne PTA are for informational purposes only.