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Individual

MANUEL R PERALTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935
(718) 565-2970
Mailing address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009077-1
NY

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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