Jolly Ann Lao Marquez, PT
Physical Therapist in Bronx, NY. Individual provider (NPI-1).
NPI number1003670134
StatusActive
Last updated in NPPESFeb 8, 2024
Details
- NPI
- 1003670134
- Entity type
- Individual (NPI-1)
- Name
- Jolly Ann Lao Marquez
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2024
- Certification date
- Feb 8, 2024
- Last updated
- Feb 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 051800-01 | NY | Yes |
Practice location
3227 E Tremont AveBronx, NY 10461-5707
Phone 718-691-6340
Mailing address
587 Jayne BlvdPort Jefferson Station, NY 11776-2946
Phone 347-755-3182
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