Yathyra Portilla, LMT

NPI #1154708519 in Paramus, New Jersey

Provider Information

NPI Number: 1154708519
Entity Type: Individual
Name: Yathyra Portilla, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 5, 2015
Last Updated: May 5, 2015

Practice Location

Address: 205 ROBIN RD
City: Paramus
State: New Jersey
ZIP Code: 07652-1449
Phone: (201) 225-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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