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Individual
MENETTE CABELLO SIDECO
Active
Individual
MENETTE CABELLO SIDECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,CKTP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032999-1
NY
225100000X
Physical Therapist
05010091A
IN
Other
Enumeration date
01/05/2011
Last updated
06/27/2013
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