Liliana Fazendeiro, PTA
NPI #1992775613 in Sag Harbor, New York
Provider Information
- NPI Number
- 1992775613
- Entity Type
- Individual
- Name
- Liliana Fazendeiro, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 34A BAY ST
- City
- Sag Harbor
- State
- New York
- ZIP Code
- 11963-3104
- Phone
- (631) 356-2631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Physical Therapy Assistant |
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