Individual
MR. JOHN CARL PERALTA PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029628
NY
225100000X
Physical Therapist
Primary
40QA01347600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01347600
PT LICENSE
NJ
Enumeration date
11/19/2010
Last updated
03/17/2018
Update your record
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