Individual
MR. ULYSSES SACAY JUNTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4427 BLOSSOM ST, APT N7, COLUMBIA, SC 29205-3661
(803) 338-1428
Mailing address
4427 BLOSSOM ST, APT N7, COLUMBIA, SC 29205-3661
(803) 338-1428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028047
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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