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Individual

MR. LUKE PEDDADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
175 PROSPECT ST APT 4B, EAST ORANGE, NJ 07017-2615
(347) 698-7028
Mailing address
175 PROSPECT ST APT 4B, EAST ORANGE, NJ 07017-2615

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009361
NY

Other

Enumeration date
09/22/2025
Last updated
10/24/2025
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