Provider Demographics
NPI:1821241621
Name:ROJAS, MARIA LUCIA (MA,PT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LUCIA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MA,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:675 SACKETT ST
Mailing Address - Street 2:APT 311
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3126
Mailing Address - Country:US
Mailing Address - Phone:718-857-7792
Mailing Address - Fax:718-857-7792
Practice Address - Street 1:675 SACKETT ST
Practice Address - Street 2:APT 311
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3126
Practice Address - Country:US
Practice Address - Phone:718-857-7792
Practice Address - Fax:718-857-7792
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013456-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics