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PETER JOSEPH PETICAN

Physical Therapist

NPI: 1629662705IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapy Assistant

Physical Therapy Assistant

Code: 225200000X

012779(NY)
Physical TherapistPrimary

Physical Therapist

Code: 225100000X

045869(NY)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2019

Contact & Hours

Address
8717 52ND AVE
ELMHURST, NY 11373

Quick Facts

NPI
1629662705
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
7

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