Individual
CECY-LIZETTE BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 INTERNATIONAL CIR STE 100, HUNT VALLEY, MD 21030-1387
(410) 606-7720
Mailing address
3213 ASTORIA BLVD APT 2R, ASTORIA, NY 11102-1117
(269) 313-2894
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
018527-1
NY
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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