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Individual
PHILIP JAMES NANULA JR.
Active
Individual
PHILIP JAMES NANULA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
046113
NY
225100000X
Physical Therapist
Primary
40424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06313024
—
NY
Enumeration date
09/21/2020
Last updated
07/14/2023
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