Ronaldo San Juan Corachea

NPI #1669793980 in Glendale, New York

Provider Information

NPI Number: 1669793980
Entity Type: Individual
Name: Ronaldo San Juan Corachea
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist - Geriatrics
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 7608 69TH PL APT 2B
City: Glendale
State: New York
ZIP Code: 11385-7138
Phone: (347) 886-6661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Geriatrics — Geriatrics	2251G0304X	Primary
Physical Therapist - Pediatrics — Pediatrics	2251P0200X

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