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Individual
JOSE PADUA CARIASO
Active
Individual
JOSE PADUA CARIASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01893600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01893600
NJ PT LICENSE
NJ
Enumeration date
10/07/2019
Last updated
10/07/2019
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