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1295453413
IMELDA BACCAY REANTASO
BRONX, NY
NPI
1295453413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 049199)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
IMELDA BACCAY REANTASO PT
5901 PALISADE AVE
BRONX, NY 10471-1205
Phone number: 718-581-1000
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Mailing Address
IMELDA BACCAY REANTASO PT
2711 BRUCKNER BLVD
BRONX, NY 10465-1968
Phone number:
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