Provider Demographics
NPI:1811604770
Name:TORRES, ANA MARGARITA MEDADO (PTRP, PTA, PT, DPT)
Entity type:Individual
Prefix:
First Name:ANA MARGARITA
Middle Name:MEDADO
Last Name:TORRES
Suffix:
Gender:F
Credentials:PTRP, PTA, PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 JUSTICE AVE APT 10I
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4580
Mailing Address - Country:US
Mailing Address - Phone:347-231-2060
Mailing Address - Fax:
Practice Address - Street 1:8708 JUSTICE AVE APT 10I
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4580
Practice Address - Country:US
Practice Address - Phone:347-231-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist