Individual
DEBORAH EVELISE AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
355 E 143RD ST APT 6E, BRONX, NY 10454-1203
(347) 744-1198
Mailing address
355 E 143RD ST APT 6E, BRONX, NY 10454-1203
(347) 744-1198
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
2559676
NY
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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