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Individual
MR. PHILIP SALVATORE PESCE
Active
Individual
MR. PHILIP SALVATORE PESCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS.PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01278900
NJ
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01278900
NJ STATE LICENSE
NJ
Enumeration date
04/24/2008
Last updated
05/26/2020
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