MISS Maria C R Baltasar, PHYSICAL THERAPIST

NPI #1770708620 in Lake Success, New York

Provider Information

NPI Number: 1770708620
Entity Type: Individual
Name: MISS Maria C R Baltasar, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Apr 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1979 MARCUS AVE
Address 2: SUITE 204
City: Lake Success
State: New York
ZIP Code: 11042
Phone: (516) 327-4681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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