Ellen Micallef, PT

NPI #1255687224 in Whitestone, New York

Provider Information

NPI Number: 1255687224
Entity Type: Individual
Name: Ellen Micallef, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 27, 2012
Last Updated: Jul 27, 2012

Practice Location

Address: 24-06 169TH STREET
City: Whitestone
State: New York
ZIP Code: 11357-4117
Phone: (718) 352-2766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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