Roxana Lazo
Physical Therapy Assistant in Merrick, NY. Individual provider (NPI-1).
NPI number1033765755
StatusActive
Last updated in NPPESAug 19, 2019
Details
- NPI
- 1033765755
- Entity type
- Individual (NPI-1)
- Name
- Roxana Lazo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2019
- Last updated
- Aug 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
2132 Merrick MallMerrick, NY 11566-3626
Phone 516-868-8200
Mailing address
576 Broadhollow RdMelville, NY 11747-5002
Phone 631-359-5859
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