Individual provider · NPI-1

Paola Ruth Bartolome Abejero, Physical Therapist

Physical Therapy Assistant · Jamaica, NY

NPI number1902487168
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1902487168
Entity type
Individual (NPI-1)
Name
Paola Ruth Bartolome Abejero
Credential
Physical Therapist
Sex
Female
Sole proprietor
No
Enumeration date
Apr 19, 2021
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant012265NYYes
225100000X Physical Therapist047762NY

Practice location

12326 95th Ave
Jamaica, NY 11419-1424

Phone 443-596-7666

Mailing address

12326 95th Ave
Jamaica, NY 11419-1424

Phone 443-596-7666

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