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1801367453
DMITRI PETRIASHVILI
BROOKLYN, NY
NPI
1801367453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 011306-1)
Enumeration Date
2018-12-07
Last Update Date
2018-12-07
Business Address
DMITRI PETRIASHVILI PTA
1914 W 5TH ST APT 1F
BROOKLYN, NY 11223-2614
Phone number: 347-681-5507
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Mailing Address
DMITRI PETRIASHVILI PTA
1914 W 5TH ST APT 1F
BROOKLYN, NY 11223-2614
Phone number: 347-681-5507
Copy
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