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1184249609
MANUEL R PERALTA
JACKSON HEIGHTS, NY
NPI
1184249609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 009077-1)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
MANUEL R PERALTA
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372-7935
Phone number: 718-565-2970
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Mailing Address
MANUEL R PERALTA
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 11372-7935
Phone number:
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