Depasupil, Sam Paguntalan
Depasupil, Sam Paguntalan is an individual health care provider with primary practice located at 261 Eagle Ave , New Milford NJ 07646-1709. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Depasupil, Sam Paguntalan can be contacted via phone (201) 851-2239.Contact Information
Primary practice address
261 Eagle Ave
New Milford NJ 07646-1709
Phone: (201) 851-2239
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 40QB00308200 | New Jersey |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 009595-1 | New York |
Profile Details
NPI number | 1720467020 |
---|---|
LBN Legal business name | Depasupil, Sam Paguntalan |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2015 |
Last updated | May 20th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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