Most Relevant Information
Provider Data
| NPI Number: | 1003670134 |
| Provider Name: | JOLLY ANN LAO MARQUEZ PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 051800-01 |
Most Important Dates
| Enumeration Date: | 02/08/2024 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
3227 E TREMONT AVE
BRONX
NY
104615707
Practice Location Phone/Fax
| Phone: | 7186916340 |
| Fax: |
Provider Mailing Location
587 JAYNE BLVD
PORT JEFFERSON STATION
NY
117762946
Provider Mailing Phone/Fax
| Phone: | 3477553182 |
| Fax: |