Individual provider · Type 1 NPI
Smaro Mirra, PT
Pediatric Physical Therapist · Brooklyn, NY
Practice location
1 Prospect Park SW, Apt 3A
Brooklyn, NY 11215-5961
Fax (347) 599-1973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 025606-1 (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 1801164868
Smaro Mirra, PT's National Provider Identifier is 1801164868, issued on Dec 6, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 6, 2011.