Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
Y | 225200000X | Physical Therapy Assistant |
NPI | 1013662691 |
---|---|
Provider Name | Rebecca Abangan |
First Address | Greenlawn, NY 11740 |
Second Address | Greenlawn, NY 11740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2022 |
Last Update Date | 13/02/2022 |