Dax Xerxes Nepomuceno, PT

NPI #1174735898 in Woodhaven, New York

Provider Information

NPI Number: 1174735898
Entity Type: Individual
Name: Dax Xerxes Nepomuceno, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 4, 2007
Last Updated: Nov 14, 2008

Practice Location

Address: 95-25 JAMAICA AVE.
Address 2: 1ST FLOOR
City: Woodhaven
State: New York
ZIP Code: 11421-2268
Phone: (718) 441-4070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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