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Individual

RONALEN LABISCASE JALANDONI THALER

Active
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Individual

RONALEN LABISCASE JALANDONI THALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA, PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62038873
NY
225200000X
Physical Therapy Assistant
009268
NY
225200000X
Physical Therapy Assistant
AT10503
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2505916
CA ID
CA
Enumeration date
09/08/2014
Last updated
10/07/2015
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