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Mr. JOSHUA AMIEL ELIZALDE CASTRO PTRP, PTA, PT

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1023765005
Provider Type
Individual Provider (NPI-1)
Credentials
PTRP, PTA, PT
Status
Active

Contact & Location

Address
1345 AVENUE OF THE AMERICAS, NEW YORK, NY, 10105
Phone
(929) 622-6080

Specialties & Taxonomies

Physical Therapist License: NY #045098-01
Physical Therapy Assistant Primary License: NY #012312-01

All Addresses

MAILING

73 MEETINGHOUSE RIDGE APARTMENT 205

MERIDEN, CT, 06450

(929) 622-6080

LOCATION

1345 AVENUE OF THE AMERICAS

NEW YORK, NY, 10105

(929) 622-6080