MRS. Mary Mewborn-Broadus

NPI #1538124011 in Jamaica, New York

Provider Information

NPI Number: 1538124011
Entity Type: Individual
Name: MRS. Mary Mewborn-Broadus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Kinesiotherapist
Enumeration Date: Apr 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17900 LINDEN BLVD
City: Jamaica
State: New York
ZIP Code: 11425-0001
Phone: (718) 526-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Kinesiotherapist	226300000X	Primary

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