MR. Antonio Aban Laxa III, PHYSICAL THERAPIST

NPI #1326363177 in Malverne, New York

Provider Information

NPI Number: 1326363177
Entity Type: Individual
Name: MR. Antonio Aban Laxa III, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: PHYSICAL THERAPIST
Enumeration Date: Apr 5, 2010
Last Updated: Apr 5, 2010

Practice Location

Address: 36 MALDON ST
City: Malverne
State: New York
ZIP Code: 11565-1515
Phone: (917) 974-6485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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