ADRIANE CLARK SALAZAR BALLESTEROS

ELMHURST, NY
NPI1700588399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  012564)
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
ADRIANE CLARK SALAZAR BALLESTEROS PTA
5741 VAN HORN ST FL 3
ELMHURST, NY 11373-5090
Phone number: 347-839-9275
Mailing Address
ADRIANE CLARK SALAZAR BALLESTEROS PTA
5741 VAN HORN ST FL 3
ELMHURST, NY 11373-5090
Phone number: 347-839-9275