CEDRIC ALFRED LABASTILLA BALDEVISO

BROOKLYN, NY
NPI1861102766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  04151701)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
Mr. CEDRIC ALFRED LABASTILLA BALDEVISO
3130 BRIGHTON 6TH ST APT 4A
BROOKLYN, NY 11235-6946
Phone number: 347-222-7073
Mailing Address
Mr. CEDRIC ALFRED LABASTILLA BALDEVISO
3130 BRIGHTON 6TH ST APT 4A
BROOKLYN, NY 11235-6946
Phone number: 347-222-7073