NPI 1083928097

Maximiano Rallon, PTA

Practitioner Physical Therapy Assistant Staten Island, NY

Practice location

Address: 475 Seaview Ave, Staten Island, NY 10305-3436
Phone: (718) 226-9466

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 66003951 (NY)

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Registry record

NPI: 1083928097
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2010
Record last updated: 2 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.