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CITADEL CABALAN TIBON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
131 W 135TH ST, NEW YORK, NY 10030-2922
(212) 281-8678
Mailing address
131 W 135TH ST, NEW YORK, NY 10030-2922
(212) 281-8678

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027533
NY

Other

Enumeration date
08/17/2010
Last updated
08/17/2010
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