Michelle London, PTA

NPI #1346518214 in Ridgewood, New York

Provider Information

NPI Number: 1346518214
Entity Type: Individual
Name: Michelle London, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 7, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 1701 MADISON ST
Address 2: 2F
City: Ridgewood
State: New York
ZIP Code: 11385-3698
Phone: (386) 801-3063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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