Michelle Lee Agin
Physical Therapist in Great Neck, NY. Individual provider (NPI-1).
NPI number1316255482
StatusActive
Last updated in NPPESFeb 25, 2016
Details
- NPI
- 1316255482
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lee Agin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2010
- Last updated
- Feb 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 020904 | NY | Yes |
Practice location
475 Northern BlvdSuite 11
Great Neck, NY 11021-4819
Phone 516-829-0030 · Fax 516-466-7723
Mailing address
475 Northern BlvdSuite 11
Great Neck, NY 11021-4819
Phone 516-829-0030 · Fax 516-466-7723
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