MA THERESA ENANO ALVIZO PT

Dr MA THERESA ENANO ALVIZO PT is a female medical professional, specializing in Physical Therapy. She graduated in 1995.

Contact

4420 FRANCIS LEWIS BLVD
BAYSIDE
NY
113613041

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MA THERESA ENANO ALVIZO PT Information

Npi 1912920869
Pac Id 1759397904
Professional Enrollment Id I20060227000230
Last Name ALVIZO
First Name MA THERESA
Middle Name ENANO
Suffix
Gender F
Credential PT
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4420 FRANCIS LEWIS BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BAYSIDE
State NY
Zip Code 113613041
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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