MRS. Leila Montefrio Hisole Ceballos, BSPT

NPI #1932247590 in Deer Park, New York

Provider Information

NPI Number: 1932247590
Entity Type: Individual
Name: MRS. Leila Montefrio Hisole Ceballos, BSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: BSPT
Enumeration Date: Feb 2, 2007
Last Updated: Jan 28, 2025

Practice Location

Address: 2141 DEER PARK AVE STE A
City: Deer Park
State: New York
ZIP Code: 11729-1301
Phone: (631) 940-9317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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