CARLOS VILLAVERDE AVILLA

MEDFORD, NY
NPI1134374226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: NY  023135-1)
Enumeration Date2008-11-18
Last Update Date2008-11-18
Business Address
Mr. CARLOS VILLAVERDE AVILLA M.S.P.T.
5 CAMDEN CT
MEDFORD, NY 11763-1583
Phone number: 631-736-4334
Mailing Address
Mr. CARLOS VILLAVERDE AVILLA M.S.P.T.
5 CAMDEN CT
MEDFORD, NY 11763-1583
Phone number: 631-736-4334
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