DR. Jade Somboonthum, PT, DPT

NPI #1194237503 in Pelham, New York

Provider Information

NPI Number: 1194237503
Entity Type: Individual
Name: DR. Jade Somboonthum, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 26, 2017
Last Updated: Oct 26, 2017

Practice Location

Address: 342 FIFTH AVE
City: Pelham
State: New York
ZIP Code: 10803-1204
Phone: (914) 738-1748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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