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Individual
MR. NATHAN CANDELARIA
Active
Individual
MR. NATHAN CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ART
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT029786
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041603000001
—
PA
01
—
2153852862
HAND AND SHOULDER
PA
01
—
2153853862
PHONENUMBER
PA
Enumeration date
11/05/2021
Last updated
07/05/2023
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