DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAUREEN DIJAMCO DESEPEDA, PT

Active

MAUREEN DIJAMCO DESEPEDA, PT is a Physical Therapy Assistant healthcare provider located in ELMHURST, New York. NPI 1295121911 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELMHURST, NY

Registration Details

NPI Number
1295121911
Provider Type
Individual
Gender
Female
NPI Issued
Apr 9, 2015 (11.376551328229 yrs)
Last Updated
Apr 9, 2015
Licenses
034334 (NY)
40QA01575100 (NJ)

Practice Information

Address
4052 75TH ST
APT. 6G
ELMHURST, NY, 113731051
Browse NY providers · Browse ZIP 11373
Phone
9292356081
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ELMHURST, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.