Individual
MR. CESAR VALENTE GARDUQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013016
NYSED
NY
01
—
46TR00447800
NJ STATE LICENSE
NJ
Enumeration date
04/20/2009
Last updated
04/20/2009
Update your record
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