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Individual
VANESSA MAY CAGULADA CORRE
Active
Individual
VANESSA MAY CAGULADA CORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
Primary
039919
NY
225200000X
Physical Therapy Assistant
009436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630162304
METROPLUS
NY
Enumeration date
09/07/2016
Last updated
07/16/2024
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