Individual
ARCHIE RAFAEL MICLAT GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 SEABURY AVE, FRANKLIN SQUARE, NY 11010-4115
(619) 991-4313
Mailing address
715 SEABURY AVE, FRANKLIN SQUARE, NY 11010-4115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032371
NY
Other
Enumeration date
10/29/2015
Last updated
05/17/2016
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