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Individual
JIM CARL TAMALA YU
Active
Individual
JIM CARL TAMALA YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044660
NY
225200000X
Physical Therapy Assistant
013483
NY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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