Individual
AMY L PETE
Active
Individual
AMY L PETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021663-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128821FT
PREFERRED CARE
—
01
—
7094402
AETNA
—
01
—
7702290
MVP
—
01
—
RC62021663
RICPA
—
Enumeration date
02/26/2007
Last updated
07/08/2007
Update your record
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