Peter Wilson Luciano JR., PTA

NPI #1063625895 in Middletown, New York

Provider Information

NPI Number
1063625895
Entity Type
Individual
Name
Peter Wilson Luciano JR., PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
121 DUNNING RD
ZIP Code
10940-2243
Phone
(845) 343-0801

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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