Carl Mico Rojales Natividad, PT, CLT, CWS

NPI #1124801535 in Long Beach, New York

Provider Information

NPI Number: 1124801535
Entity Type: Individual
Name: Carl Mico Rojales Natividad, PT, CLT, CWS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, CLT, CWS
Enumeration Date: Aug 17, 2023
Last Updated: Aug 17, 2023

Practice Location

Address: 640 W BROADWAY
City: Long Beach
State: New York
ZIP Code: 11561-2900
Phone: (516) 431-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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