Sam Paguntalan Depasupil, PTA

Individual provider Physical Therapy Assistant · NPI 1720467020

Sam Paguntalan Depasupil, PTA is a Physical Therapy Assistant in New Milford, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2015.

Licensed in: NJ, NY
In the registry since: 2015
Specialties on file: 2

What do these letters mean?

PTA — Physical Therapist Assistant: Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

261 Eagle Ave
New Milford, NJ 07646-1709
Phone: (201) 851-2239

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary)	Taxonomy 225200000X · Licence 40QB00308200 (NJ)
Physical Therapy Assistant	Taxonomy 225200000X · Licence 009595-1 (NY)

Record details

NPI number	1720467020
Entity type	Individual (Type 1)
Gender	Male
Credentials	PTA
Sole proprietor	No
NPI enumerated	May 20, 2015
Last updated in NPPES	May 20, 2015