Paca, Joanna Kathrina Repollo

Paca, Joanna Kathrina Repollo is an individual health care provider with primary practice located at 1150 Pelham Pkwy S Apt 6E , Bronx NY 10461-1032. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Paca, Joanna Kathrina Repollo can be contacted via phone (203) 430-4304.

Contact Information

Primary practice address
1150 Pelham Pkwy S Apt 6E Bronx NY 10461-1032
Phone: (203) 430-4304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 013378 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 041207 New York

Profile Details

NPI number 1518670686
LBN Legal business name Paca, Joanna Kathrina Repollo
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2023
Last updated Jan 3rd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518670686 NPPES
New York Other 013378 PTA LICENSE
New York Other 041207 PTA LICENSE

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