NPI | 1295499176 |
---|---|
Doing Business As | AVILLA INC |
Entity Type | Organization |
Authorized Contact | CARLOS AVILLA President/CEO/Owner 516-384-1206 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Enumeration Date | 2021-10-26 |
Last Update Date | 2021-10-26 |