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Individual
LETICIA VENEGAS
Active
Individual
LETICIA VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
225100000X
Physical Therapist
030722
NY
225100000X
Physical Therapist
Primary
0307221
NY
Other
Enumeration date
11/07/2008
Last updated
09/08/2022
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