JESSICA S LAKE

VALHALLA, NY
NPI1427364793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  033013)
Enumeration Date2010-08-25
Last Update Date2010-08-25
Business Address
JESSICA S LAKE DPT
95 BRADHURST AVE
VALHALLA, NY 10595-1637
Phone number: 914-592-7555
Mailing Address
JESSICA S LAKE DPT
37 HAMILTON PL APT MD
TARRYTOWN, NY 10591-3425
Phone number: 631-835-3432