CARROLL ANN MENDONCA PT PC
Physical Therapy at 111 Ave, Jamaica, NY

License number
New York 022988
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MRS. CARROLL ANN MENDONCA PT
Title: OWNER
Phone: (718) 738-2236
Address
Address
12711 111Th Ave, Jamaica, NY 11420
National Provider ID: 1356601686
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CARROLL ANN MENDONCA PT PC at bizstanding.com

CARROLL ANN MENDONCA P.T. PC

127-11/13 111 Ave, South Ozone Park, NY 11420

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jan 30, 2003
Inactive since:
Jan 27, 2010
State ID:
2863568
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Carroll Ann Mendonca, 127-11 Ave, South Ozone Park, NY 11420 (Physical)

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