Kenroy Leslie Simms, PT
Physical Therapist in Bronx, NY. Individual provider (NPI-1).
NPI number1235351925
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1235351925
- Entity type
- Individual (NPI-1)
- Name
- Kenroy Leslie Simms
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2007
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 036852 | NY | Yes |
| 174400000X | Specialist | 006206-1 | NY |
Practice location
4349 Baychester AveBronx, NY 10466-1811
Phone 718-541-0128
Mailing address
4349 Baychester AveBronx, NY 10466-1811
Phone 718-541-0128
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