DR. Vita M Dequatro, DOCTORATE OF PT

NPI #1417185018 in Tuckahoe, New York

Provider Information

NPI Number: 1417185018
Entity Type: Individual
Name: DR. Vita M Dequatro, DOCTORATE OF PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DOCTORATE OF PT
Enumeration Date: Jun 23, 2009
Last Updated: Mar 18, 2015

Practice Location

Address: 115 MAIN ST
Address 2: SUITE#202 2ND FLOOR
City: Tuckahoe
State: New York
ZIP Code: 10707-2948
Phone: (914) 961-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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