NPI 1184249609

Manuel R Peralta

Practitioner Physical Therapy Assistant Jackson Heights, NY

Practice location

Address: 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935
Phone: (718) 565-2970

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 009077-1 (NY)

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Registry record

NPI: 1184249609
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2020
Record last updated: 10 Jun 2020

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.