| NPI | 1114158961 |
|---|---|
| Former Name | LORADEL CAMACHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022687-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022687) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2025-06-18 |