Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 015287-1 | NY |
NPI | 1023256922 |
---|---|
Provider Name | Barbara Leslie Zell |
First Address | Howard Beach, NY 11414-2617 |
Second Address | Howard Beach, NY 11414-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2009 |
Last Update Date | 30/01/2009 |