WILDA LACDAO PERALTA

JERICHO, NY
NPI1073871182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  027102)
Enumeration Date2012-04-26
Last Update Date2012-04-26
Business Address
-- WILDA LACDAO PERALTA PT
33 S SERVICE RD RM 109
JERICHO, NY 11753-1036
Phone number: 516-750-9760
Mailing Address
-- WILDA LACDAO PERALTA PT
28 WALNUT LANE
HICKSVILLE, NY 11801
Phone number: 917-459-6051