WILFREDO AUSAN DE JESUS

BRONX, NY
NPI1649357856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  021832)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Mr. WILFREDO AUSAN DE JESUS R.P.T.
352 BALCOM AVE # 1
BRONX, NY 10465-2612
Phone number: 347-621-5058
Mailing Address
Mr. WILFREDO AUSAN DE JESUS R.P.T.
352 BALCOM AVE # 1
BRONX, NY 10465-2612
Phone number: 347-621-5058