Vicente Leonardo Quijano Mustera, PHYSICAL THERAPIST

NPI #1487299814 in Deer Park, New York

Provider Information

NPI Number
1487299814
Entity Type
Individual
Name
Vicente Leonardo Quijano Mustera, PHYSICAL THERAPIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PHYSICAL THERAPIST
Enumeration Date
Nov 8, 2019
Last Updated
Nov 8, 2019

Practice Location

Address
2033 DEER PARK AVE
ZIP Code
11729-2109
Phone
(516) 312-7703

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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