Olivia Thadani Baesa, PT
Physical Therapist in Bellerose, NY. Individual provider (NPI-1).
NPI number1295370682
StatusActive
Last updated in NPPESNov 9, 2019
Details
- NPI
- 1295370682
- Entity type
- Individual (NPI-1)
- Name
- Olivia Thadani Baesa
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2019
- Last updated
- Nov 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 039418 | NY | Yes |
Practice location
24519 Jericho TpkeBellerose, NY 11426-1414
Phone 718-343-6300
Mailing address
8635 Queens Blvd Apt 1hElmhurst, NY 11373-4408
Phone 516-492-9896
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All 16 Physical Therapist providers in Bellerose · All 474 providers in Bellerose
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