Individual
MR. ARNOLD AGBAY AUGUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.016720
IL
2251G0304X
Geriatric Physical Therapist
—
—
Other
Enumeration date
08/11/2007
Last updated
12/02/2008
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