Individual provider · Type 1 NPI
Maricel Lactaoen Baetiong, PT
Pediatric Physical Therapist · Brooklyn, NY
Practice location
1651 Coney Island Ave.
Brooklyn, NY 12230
Mailing address
74 Empire Blvd
Island Park, NY 11558-1228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 023274-01 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1699087668
Maricel Lactaoen Baetiong, PT's National Provider Identifier is 1699087668, issued on Jul 7, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 7, 2010.