Individual
MR. JOSHUA AMIEL ELIZALDE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTRP, PTA, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045098-01
NY
225200000X
Physical Therapy Assistant
Primary
012312-01
NY
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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