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Individual
MARIO ALBERTO CARRANZA
Active
Individual
MARIO ALBERTO CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008017L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02093301
KEYSTONE HEALTH CENTRAL
—
01
—
0467891
AETNA PPO
—
01
—
0690022000
AMERIHEALTH
—
01
—
1398661
UNITED HEALTHCARE
—
01
—
2170551
MAMSI
—
01
—
328979
HEALTHAMERICA/HEALTHASSUR
—
01
—
4854485
CIGNA HEALTHCARE
—
01
—
748181
HIGHMARK BLUE SHIELD
PA
01
—
821764
FIRST PRIORITY HEALTH
—
01
—
P1643780
OXFORD HEALTH PLANS
—
Enumeration date
07/20/2005
Last updated
01/10/2008
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