JAICON ORCULLO LOPEZ

ELMHURST, NY
NPI1275322166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  66.P133429-01)
Enumeration Date2025-05-06
Last Update Date2025-05-06
Business Address
JAICON ORCULLO LOPEZ
5212 90TH STREET, FL2
ELMHURST, NY 11373
Phone number: 718-757-3961
Mailing Address
JAICON ORCULLO LOPEZ
5212 90TH STREET, FL2
ELMHURST, NY 11373
Phone number: 718-757-3961