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Individual
JOSE ISMEL COLLADO
Active
Individual
JOSE ISMEL COLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14775
CT
225700000X
Massage Therapist
007864
CT
Other
Enumeration date
05/24/2017
Last updated
02/18/2025
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