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1134786940
KANTAYA KORSAK
MIDDLETOWN, NY
NPI
1134786940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044303-1)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
KANTAYA KORSAK
201 DOLSON AVE STE G100
MIDDLETOWN, NY 10940-6572
Phone number: 845-343-9619
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Mailing Address
KANTAYA KORSAK
201 DOLSON AVE STE G100
MIDDLETOWN, NY 10940-6572
Phone number: 845-343-9619
Copy
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