Kenneth Damicog Javines

NPI #1962655225 in Astoria, New York

Provider Information

NPI Number: 1962655225
Entity Type: Individual
Name: Kenneth Damicog Javines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 30, 2008
Last Updated: Jan 5, 2017

Practice Location

Address: 3033 32ND ST
Address 2: 2F
City: Astoria
State: New York
ZIP Code: 11102-1985
Phone: (646) 288-5840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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