Provider Demographics
NPI:1902943160
Name:LIMJOCO, MARIA ANGELA TURLA (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA ANGELA
Middle Name:TURLA
Last Name:LIMJOCO
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:314 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-2853
Mailing Address - Country:US
Mailing Address - Phone:631-758-1673
Mailing Address - Fax:
Practice Address - Street 1:314 BRISTOL CT
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-2853
Practice Address - Country:US
Practice Address - Phone:631-758-1673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010777-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist