EDWARD GERARD DE PEDRO TABUADA

BROOKLYN, NY
NPI1043906696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  013214-01)
Enumeration Date2023-04-17
Last Update Date2023-04-17
Business Address
Mr. EDWARD GERARD DE PEDRO TABUADA
1084 LIBERTY AVE
BROOKLYN, NY 11208-2923
Phone number: 347-586-0625
Mailing Address
Mr. EDWARD GERARD DE PEDRO TABUADA
1084 LIBERTY AVE
BROOKLYN, NY 11208-2923
Phone number: 347-586-0625