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Individual
MITCHEL VINCENT ABELLA ANTIGUA
Active
Individual
MITCHEL VINCENT ABELLA ANTIGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044496
PT LICENSE
NY
Enumeration date
02/25/2022
Last updated
07/16/2024
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