MARY GRACE VILELA CAPISTRANO - Physical Therapist License in New York | # 070022721

MARY GRACE VILELA CAPISTRANO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022721

License Status

NOT RENEWED

Business

N

First Name

MARY GRACE

Middle

VILELA

Last Name

CAPISTRANO

Business Name

MARY GRACE VILELA CAPISTRANO

Original Issue Date

11/29/2016

Effective Date

09/19/2018

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

01/14/2021