Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 000120-1 | NY |
NPI | 1013053594 |
---|---|
Provider Name | Ms. Marie Allgier |
First Address | Islip, NY 11751-3113 |
Second Address | Islip, NY 11751-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |