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Myrtz Melody Revesencio Sevilla
Hand Physical Therapist in Rockaway Park, New York
NPI 1386264224

Myrtz Melody Revesencio Sevilla is a Hand Physical Therapist based in Rockaway Park, NY and is specialized in Hand. Myrtz Melody Revesencio Sevilla practices in Rockaway Park, NY. The NPI Number for Myrtz Melody Revesencio Sevilla is 1386264224 and holds a License No. 24692 (New York).

The current practice location address for Myrtz Melody Revesencio Sevilla is 160 Beach 99Th St, Rockaway Park, NY and can be reached out via phone at 916-513-3907.

Location: 160 Beach 99Th St, Rockaway Park, NY, 11694-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386264224
Provider Name
Myrtz Melody Revesencio Sevilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 Beach 99Th St, Rockaway Park, NY, 11694-2807
Phone Number
916-513-3907
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
160 Beach 99Th St
City
Rockaway Park
State
New York
Zip
11694-2807
Phone Number
916-513-3907
Fax Number
person
Provider Business Mailing Address Details
Address
160 Beach 99Th St
City
Rockaway Park
State
New York
Zip
11694-2807
Phone Number
916-513-3907
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Hand
Taxonomy
2251H1200X
License No.
24692 (Massachusetts)
Definition
Definition to come...
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