BRANDO LYDELL LAKES

BRONX, NY
NPI1801386503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  042929)
Enumeration Date2018-05-17
Last Update Date2022-09-28
Business Address
BRANDO LYDELL LAKES DPT, PT, OCS
3656 JOHNSON AVE APT 6G
BRONX, NY 10463-1616
Phone number: 760-819-1921
Mailing Address
BRANDO LYDELL LAKES DPT, PT, OCS
3656 JOHNSON AVE APT 6G
BRONX, NY 10463-1616
Phone number: 760-819-1921
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