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Individual

RUEL BAUTISTA CAVITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1345 6TH AVE FL 11, NEW YORK, NY 10105-0013
(212) 981-1977
Mailing address
1345 6TH AVE FL 11, NEW YORK, NY 10105-0013
(212) 981-1977

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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