Individual
MR. TEOFILO RABANERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8173286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8173286
LICENSE NUMBER
NY
Enumeration date
05/23/2018
Last updated
05/23/2018
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