Ronaldo San Juan Corachea
Ronaldo San Juan Corachea is a Physical Therapist in Private Practice in Glendale, New York. Qualified in 1995, 31 years ago. Practices with Optimum Therapeutics PT and OT PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 31
- Licensed in
- NY
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
7608 69th Pl Apt 2BGlendale, NY 11385-7138
Phone: (347) 886-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Physical Therapist (primary) | Taxonomy 2251G0304X · Licence 018679-1 (NY) |
|---|---|
| Pediatric Physical Therapist | Taxonomy 2251P0200X · Licence 018679-1 (NY) |
Record details
| NPI number | 1669793980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2010 |
| Last updated in NPPES | June 22, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | Optimum Therapeutics Pt And Ot Pllc — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |