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Individual
MS. ELLEN JOYCE TABIANDO BUSTILLO
Active
Individual
MS. ELLEN JOYCE TABIANDO BUSTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044572
NY
225200000X
Physical Therapy Assistant
012201
NY
Other
Enumeration date
03/07/2022
Last updated
06/23/2024
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