Individual
CLINT LOUIS JUANILLO CALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
242 NOB HILL DR, ELMSFORD, NY 10523-2420
(660) 890-4432
Mailing address
242 NOB HILL DR, ELMSFORD, NY 10523-2420
(660) 890-4432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009298
NY
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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