Individual
MRS. AWILDA PELAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
700 PATCHOGUE YAPHANK RD STE 60, MEDFORD, NY 11763-2239
(516) 380-1893
(631) 775-8449
Mailing address
700-60 PATCHOGUE-YAPHANK ROAD, MEDFORD, NY 11763
(516) 380-1893
(631) 775-8449
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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