JERUSALEM VICENCIO VALDEZ

VALLEY STREAM, NY
NPI1053392860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  021867)
Enumeration Date2005-11-09
Last Update Date2016-03-30
Business Address
-- JERUSALEM VICENCIO VALDEZ PT
18 WOOD LN
VALLEY STREAM, NY 11581-2618
Phone number: 646-469-1527
Mailing Address
-- JERUSALEM VICENCIO VALDEZ PT
18 WOOD LN
VALLEY STREAM, NY 11581-2618
Phone number: 646-469-1527
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