LANCE MIGUEL ARIS DEMAVIVAS SARES

GENEVA, NY
NPI1386350346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  049655)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
LANCE MIGUEL ARIS DEMAVIVAS SARES PT
196 NORTH ST
GENEVA, NY 14456-1651
Phone number: 315-787-4570
Mailing Address
LANCE MIGUEL ARIS DEMAVIVAS SARES PT
196 NORTH ST
GENEVA, NY 14456-1651
Phone number: 315-787-4570