Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 029571 | NY |
NPI | 1992976641 |
---|---|
Provider Name | Ms. Irene Sturla |
First Address | Brooklyn, NY 11220-3702 |
Second Address | Brooklyn, NY 11220-2559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 20/03/2008 |