Michele Kim Sprague P.T.

NPI 1699929091 - Physical Therapist - 225100000X

NPI Details
NPI 1699929091
Gender Female
Enumeration Date 11/11/2008
Last Updated 11/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1000 SOUTH AVE
ROOM LL2
STATEN ISLAND NY, 10314-3430, US
Phone (718) 477-0961
Fax (718) 761-1643
Business Location
111 SYLVIA ST
STATEN ISLAND NY, 10312-3724, US
Phone (718) 605-6926
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 017282
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According to our database, Mrs. Michele Kim Sprague P.T. NPI is 1699929091, taxonomy code is 225100000X and license number is 017282, license state is located at New York. Michele Kim Sprague P.T. physically located at 1000 South Ave, Staten Island NY, 10314-3430. NPI Number Michele Kim Sprague P.T. has the Individual type.

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1699929091 NPI number is provided on an as is basis without warranty of any kind. 1699929091 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Kim Sprague P.T. are for informational purposes only.