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Individual
NATHANIEL BREX ROA CAYETUNA
Active
Individual
NATHANIEL BREX ROA CAYETUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032055
NY
Other
Enumeration date
03/30/2010
Last updated
04/09/2014
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